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Abdelazim and AbuFaza technique for temporary bilateral uterine occlusion to decrease the blood loss during
Ibrahim A Abdelazim1,2, Mohannad AbuFaza2
1Department of Obstetrics and Gynecology, Ain Shams University, Cairo, Egypt.
Journal of Family Medicine and Primary Care
|November 5, 2019
Summary
This study demonstrates a novel technique for myomectomy (fibroid removal) that significantly reduces blood loss, even in complex cases. This method avoids the need for blood transfusions, preserving fertility potential for women with uterine fibroids.
Area of Science:
- Reproductive Medicine
- Surgical Innovation
Background:
- Symptomatic uterine fibroids often necessitate hysterectomy or myomectomy.
- Myomectomy carries risks of severe bleeding and transfusion requirements.
- Alternative techniques are needed to manage fibroids while preserving fertility.
Observation:
- Two unmarried women with multiple large uterine fibroids, presenting at 28 and 24 weeks' gestation, desired fertility preservation and refused hysterectomy.
- Myomectomy was performed, involving the removal of numerous fibroids ranging in size.
- The Abdelazim and AbuFaza technique of temporary bilateral uterine occlusion was employed during the myomectomy procedures.
Findings:
- Both cases demonstrated minimal hemoglobin difference (0.6 and 0.4 gms%) post-surgery.
- No emergency blood transfusions were required in either case.
- The technique effectively minimized intraoperative blood loss during extensive myomectomy.
Implications:
- The Abdelazim and AbuFaza technique offers a promising approach to reduce blood loss during myomectomy for women with multiple fibroids.
- This method supports fertility preservation by enabling complex myomectomies with reduced surgical risks.
- Further research into this technique could refine surgical protocols for uterine fibroid management.