A Comparative Study to Assess Blood Loss during Abdominal Myomectomy by Tourniquet Application versus Intramyometrial Vasopressin Injection
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2019, Vol 6, Issue 11
Abstract
Objective: The objective of this study was to determine the efficacy of applying uterine artery tourniquet and intramyometrial vasopressin injection to reduce intraoperative blood loss during abdominal myomectomy. Methods: A comparative interventional study comparing parameters in the two groups of patients containing 24 each where one received tourniquet application and other received intramyometrial vasopressin. Results: Pre-operative hemoglobin (Hb) was comparable in both mean 10.5 ± 0.50 g/dl in tourniquet group and 10.5 ± 0.47 g/dl in vasopressin group. Pre-operative hematocrit (Hct) was also comparable in both mean 31.8 ± 1.44% in tourniquet group and 31.7 ± 1.51% in vasopressin group. Mean operative time was 49.0 ± 10.33 min in tourniquet group and 48.8 ± 9.62 min in vasopressin group which was statistically indifferent. Amount of mean blood loss in the tourniquet group was 467.9 ± 74.50 cc and 356.45 ± 58.35 cc in vasopressin group which is significantly higher in former. Post-operative day 3 Hb was lower in tourniquet group 8.94 ± 0.52 g/dl than 9.45 ± 0.52 g/dl in vasopressin group. Reduction in Hb postoperatively was more in tourniquet group 1.43 ± 0.45 g/dl than vasopressin group 0.92 ± 0.20 g/dl. Reduction in Hct postoperatively was more (4.82 ± 1.4%) in tourniquet group than in vasopressin group (2.74 ± 0.62%). Blood transfusion was required 5 (20.83%) cases in tourniquet group, but only in 2 (8.33%) cases of vasopressin group though it was statistically indifferent between both groups. Conclusion: Application of tourniquet had more mean operative time, intraoperative blood loss, and requirement of blood transfusion. There is more reduction in Hb and Hct postoperatively in tourniquet application.
Authors and Affiliations
Sujoy Dutta, Subrata Samanta, Sudipta Samanta, Agrima Mullick
Keywords
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