Abstract
Aims and Objectives: To determine the impact, efficacy, benefits of such low cost safe technological option (BUAL) in areas where high level surgical interventions are restricted. Methods and Materials: The total sixty six (66)cases have been selected on random basis of which thirty three (33)cases allocated in group A (n=33) (cases) were operated by this method (BUAL)and others in group B (n=33)(controls) were operated by other methods (Bonney’s clamp ,tourniquet or vasopressin). Results and Analysis: The results of individual group have been analyzed in the form of primary outcome and secondary outcome. There are statistically significant less blood loss, less transfusion, less operation time with good post-operative recovery and satisfaction by low cost in Gr-A(Cases) compare to Gr-B (Controls). Conclusion: The bilateral uterine artery ligation should be ligated before starting myomectomy not only open but also laparoscopic method to minimize complications.
Highlights
Recent ultrasound data suggested a cumulative incidence at least 70%, uterine myoma originating from the myometrium of the uterus is the most common benign tumor in women with prevalence rates ranging from 20-40% are noted in different literatures though the incidence as per the histological diagnosis is much more than the clinical diagnosis which approximately 60% of women above 45 years of age are harboring myoma [1]
Among available treatment modalities of which mostly in symptomatic myomas where open myomectomy, most likely treatment option despite of introduction of nonsurgical and newer methods available worldwide (USA40,000/yr) where hemorrhagic(Blood l0ss>1000ml) complication that controlled by different techniques though individuals having drawbacks but the bilateral uterine arteries ligation (BUAL) very effective to minimize blood loss and safe and no adverse effects on fertility and pregnancy
This study statistically showed that B.U.A.L. is better that’s why this can be done safely and effectively as a low cost, low technology option in areas where high level medical technology restricted like India as the primary and secondary outcomes of this method is more effective, safe and convenient to other haemostatic techniques [11]
Summary
Recent ultrasound data suggested a cumulative incidence at least 70%, uterine myoma originating from the myometrium of the uterus is the most common benign tumor in women with prevalence rates ranging from 20-40% are noted in different literatures though the incidence as per the histological diagnosis is much more than the clinical diagnosis which approximately 60% of women above 45 years of age are harboring myoma [1]. Among available treatment modalities of which mostly in symptomatic myomas where open myomectomy, most likely treatment option despite of introduction of nonsurgical and newer methods available worldwide (USA40,000/yr) where hemorrhagic(Blood l0ss>1000ml) complication that controlled by different techniques though individuals having drawbacks but the bilateral uterine arteries ligation (BUAL) very effective to minimize blood loss and safe and no adverse effects on fertility and pregnancy. The studies on myomectomy by different methods concluded blood loss more than 1500ml with huge transfusion, average operation time two (2) hours (approx) but in our study by this simple, low cost technological step (BUAL) revealed less operation time, less blood loss and transfusion with good wound, satisfactory post-operative recovery and discharge from hospital and statistically significant primary and secondary outcomes This simple surgical technique should be incorporated during myomectomy open and minimal-access surgery as method to control hemorrhage. This study statistically showed that B.U.A.L. is better that’s why this can be done safely and effectively as a low cost, low technology option in areas where high level medical technology restricted like India as the primary and secondary outcomes of this method is more effective, safe and convenient to other haemostatic techniques [11]
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callMore From: Obsgyne Review: Journal of Obstetric and Gynecology
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
