Uterus banding with the Osada method effectively reduces intraoperative blood loss during myomectomy

Abstract

Introduction: The surgery of fibroid removal and reconstruction of the uterus is associated with increased blood loss. That is a significant limitation of surgical myomectomy. There are many methods to decrease blood loss during myomectomy. However, in women planning to conceive their reversibility is important. The procedure of uterus banding with the Osada method meets this condition. The objective of this study was a comparison of intraoperative blood loss during the myomectomy with banding according to the Osada technique with blood loss during a classic myomectomy with the Martin method. Material and methods: The study group consisted of 140 women with myomatous uterus. In 70 patients myomectomy was performed with the Osada uterus banding method, for the remaining 70 patients the Martin method was applied. Results: Myomectomy with banding according to the Osada method versus myomectomy with the Martin method: intraoperative blood loss (ml): 56 ± 23 vs 378 ± 186, p < 0.05; a drop in hematocrit levels over 24 hours postoperatively (%): 0.32 ± 0.12 vs 3.42 ± 2.54, p < 0.05; a drop in hemoglobin concentration over 24 hours postoperatively (g/dl): 0.13 ± 0.04 vs 0.79 ± 0.38, p < 0.05. the need for blood transfusion (% of women): 0 vs 4.28, p < 0.05. Conclusion: Myomectomy performed according to the Osada method of uterus banding is associated with less intraoperative blood loss.

Key words:

• Myomectomy
• uterine fibroids
• Martin method

Declaration of interest

The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.