Comparation of two methods of surgery for myoma bleeding rate in open myomectomy cases: Ligation and using tourniquet

Abstract

BackgroundMyomectomy is a surgical procedure that is associated with the removal of non-cancerous masses inside the uterus. Among the methods of myomectomy, we can mention the use of tourniquet and ligation. This study was designed to compare 2 surgery methods for bleeding management in myomectomy. MethodsThis prospective randomized control trial study was conducted on 60 patients who were divided into two groups and underwent myomectomy by 2 surgery methods: ligation and using tourniquet, in Emam Sajad hospital in 2020–2022. Informed consent was obtained from all participants. All the patients underwent ultra-sonography. Patient's vital signs and Hemoglobin was recorded after surgery. Further, after discharge, the patient's condition was followed up for 2 weeks. ResultsThe average age of the patients in the tourniquet and ligation group was about 38 and 39 years, respectively. In this study, out of a total of 60 patients, 30 were in the tourniquet group and 30 were in the ligation group. According to the results, there was a significant difference between the average volume of bleeding and the duration from surgery onset to myoma removal in the 2 groups (p<0.05). But there was no significant difference between average blood pressure (p = 0.45), heart rate (p = 0.64), respiration rate (p = 0.03), hemoglobin (p = 0.88) and platelets 6 h after surgery (p = 0.31) between 2 studied groups. ConclusionOur findings showed that, the amount of bleeding and duration of surgery in the ligation method was less than applying tourniquet. So, ligation method can be a safe method in open myomectomy surgeries.