Techniques to Reduce Blood Loss During Open Abdominal Myomectomy: Transverse or Vertical Incision?_ Crimson Publishers

 Techniques to Reduce Blood Loss During Open Abdominal Myomectomy: Transverse or Vertical Incision? by Ozlem Uzunlar* in Investigations in Gynecology Research & Womens Health_ Gynecology Open Access Journals

 

Abstract

Objective: To determine if there is a difference between uterine incision techniques (vertical vs transverse) in terms of clinical results.

Methods: All women with leiomyomas who underwent open abdominal myomectomy (n=61) between March and August 2016 in the Clinic of Gynecology and Obstetrics, Zekai Tahir Burak Women’s Health Care Training and Research Hospital were included and the clinical results were reviewed prospectively.

Result: The estimated blood loss during myomectomy increased in transverse group compared to vertical group (809, 33±483, 34ml vs 405, 32±180, 95ml, p<0.001). The median operative time is 60 minutes and the patients are discharged second day after surgery. No intergroup statistically differences are observed in surgical procedure.

Conclusion: Open abdominal myomectomy causes blood loss however, in transverse incision there is a higher level of estimated blood loss compared to vertical group

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