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Abdominal Myomectomy for Huge Uterine Myomas with Intra-arterial Balloon Occlusion: Approach to Reduce Blood Loss.
Surg J (N Y). 2020 May; 6(Suppl 1):S11-S21.SJ

Abstract

Abdominal myomectomy for a huge myomas, especially uterine cervical myoma, is difficult because of risks, such as intraoperative bleeding or injury to adjacent organs. Therefore, understanding of the positional relationships among a huge myoma, especially cervical or intraligamental myoma, and the vascular plexuses in the right and left cardinal ligaments is important for prevention of massive bleeding during myomectomy. While sufficiently performing preoperative assessment with pelvic examination, ultrasonography, magnetic resonance imaging (MRI), etc., surgeons should always keep in mind how they can reduce the blood loss volume, while safely and surely performing resections. For a cervical myoma of the uterus and giant uterine leiomyoma that leave no intrapelvic space and prevent palpation and identification of the uterine arteries and the internal iliac arteries, surgery can be performed safely by preoperatively placing balloon catheters in the internal iliac arteries. Hemostaic strategies for myomectomy and tips of subsequent pregnancy following myomectomy are also described.

Authors+Show Affiliations

Department of Obstetrics and Gynecology, Faculty of Medicine, Juntendo University, Tokyo, Japan.Department of Obstetrics and Gynecology, Faculty of Medicine, Juntendo University, Tokyo, Japan.Department of Obstetrics and Gynecology, Faculty of Medicine, Juntendo University, Tokyo, Japan.Department of Obstetrics and Gynecology, Faculty of Medicine, Juntendo University, Tokyo, Japan.Department of Radiology, Faculty of Medicine, Juntendo University, Tokyo, Japan.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32399486

Citation

Takeda, Satoru, et al. "Abdominal Myomectomy for Huge Uterine Myomas With Intra-arterial Balloon Occlusion: Approach to Reduce Blood Loss." Surgery Journal (New York, N.Y.), vol. 6, no. Suppl 1, 2020, pp. S11-S21.
Takeda S, Ota T, Kaneda H, et al. Abdominal Myomectomy for Huge Uterine Myomas with Intra-arterial Balloon Occlusion: Approach to Reduce Blood Loss. Surg J (N Y). 2020;6(Suppl 1):S11-S21.
Takeda, S., Ota, T., Kaneda, H., Terao, Y., & Kuwatsuru, R. (2020). Abdominal Myomectomy for Huge Uterine Myomas with Intra-arterial Balloon Occlusion: Approach to Reduce Blood Loss. Surgery Journal (New York, N.Y.), 6(Suppl 1), S11-S21. https://doi.org/10.1055/s-0039-1693041
Takeda S, et al. Abdominal Myomectomy for Huge Uterine Myomas With Intra-arterial Balloon Occlusion: Approach to Reduce Blood Loss. Surg J (N Y). 2020;6(Suppl 1):S11-S21. PubMed PMID: 32399486.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Abdominal Myomectomy for Huge Uterine Myomas with Intra-arterial Balloon Occlusion: Approach to Reduce Blood Loss. AU - Takeda,Satoru, AU - Ota,Tsuyoshi, AU - Kaneda,Hiroshi, AU - Terao,Yasuhisa, AU - Kuwatsuru,Ryohei, Y1 - 2019/08/05/ PY - 2020/5/14/entrez PY - 2020/5/14/pubmed PY - 2020/5/14/medline KW - abdominal myomectomy KW - hemorrhage KW - huge myoma KW - intra-arterial balloon occlusion KW - uterine cervical myoma SP - S11 EP - S21 JF - Surgery journal (New York, N.Y.) JO - Surg J (N Y) VL - 6 IS - Suppl 1 N2 - Abdominal myomectomy for a huge myomas, especially uterine cervical myoma, is difficult because of risks, such as intraoperative bleeding or injury to adjacent organs. Therefore, understanding of the positional relationships among a huge myoma, especially cervical or intraligamental myoma, and the vascular plexuses in the right and left cardinal ligaments is important for prevention of massive bleeding during myomectomy. While sufficiently performing preoperative assessment with pelvic examination, ultrasonography, magnetic resonance imaging (MRI), etc., surgeons should always keep in mind how they can reduce the blood loss volume, while safely and surely performing resections. For a cervical myoma of the uterus and giant uterine leiomyoma that leave no intrapelvic space and prevent palpation and identification of the uterine arteries and the internal iliac arteries, surgery can be performed safely by preoperatively placing balloon catheters in the internal iliac arteries. Hemostaic strategies for myomectomy and tips of subsequent pregnancy following myomectomy are also described. SN - 2378-5128 UR - https://www.unboundmedicine.com/medline/citation/32399486/Abdominal_Myomectomy_for_Huge_Uterine_Myomas_with_Intra-arterial_Balloon_Occlusion:_Approach_to_Reduce_Blood_Loss L2 - http://www.thieme-connect.com/DOI/DOI?10.1055/s-0039-1693041 DB - PRIME DP - Unbound Medicine ER -
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