Temporary Uterine Artery Occlusion at Laparoscopic Myomectomy – A Simple Technique to Reduce Blood Loss

Abstract

Video Objective Demonstrate a simple, temporary and reversible method for uterine artery occlusion at the time of laparoscopic myomectomy Setting Tertiary level Academic center. Interventions Temporary uterine artery occlusion has been shown to reduce blood loss at myomectomy. The technique demonstrated shows a simple approach for using laparoscopic bulldog clamps at myomectomy Conclusion To reduce intraoperative blood loss for women undergoing laparoscopic myomectomy: Intra-myometrial injection of dilute vasopressin, Temporary placement of uterine artery clamps, Tranexamic acid, Misoprostol (PGE1).