Blood-saving myomectomy

The article presents a clinical observation of a 41-year-old patient with multiple large uterine fibroids. Given the patient’s persistent desire to preserve the uterus in view of planning a future pregnancy, surgical treatment in the form of laparotomy and removal of myomatous nodes was proposed. Underlying disease: grade 1 anemia (hemoglobin concentration 110 g/l). A hemostatic tourniquet was used for temporary occlusion of the uterine arteries. The mass of the removed nodes ranged from 5 g to 1500 g. In total - 3500 g. Blood loss - 200 ml. Serous-serous discharge through the drainage - 400 ml. Blood transfusions were not performed. The postoperative period was uneventful. The patient was discharged home in a satisfactory condition on the 5th day after the operation. The hemoglobin concentration at discharge was 92 g / l. It was concluded that a temporary uterine tourniquet can be an effective method for reducing perioperative blood loss in patients with multiple large fibroids.