Authors
Turaeva R.R.1, Katsyuba M.S.1, 2, Akhmetshina L.R.1, Zhiburt E.B.3
1 Republican Clinical Hospital of the Ministry of Health of the Republic of Tatarstan, Kazan
2 Kazan State Medical Academy – branch of the Federal State Budgetary Educational Institution of Additional Professional Education «Russian Medical Academy of Continuing Professional Education», Kazan
3 Pirogov National Medical Surgical Center, Moscow
Abstract
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.
Keywords: multiple uterine fibroids, large sizes, myomectomy, tourniquet, blood conservation, clinical case.
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