García-de la Torre JI, Aguirre-Ramos MA, Ramos-Alvarado AM, Villa-Ponce D, González-Cantú G

Language: Spanish
References: 12
Page: 112-121
PDF size: 820.15 Kb.

ABSTRACT

Background: Uterine fibroids are the most common gynecological tumors; the prevalence increases with age. They can cause symptoms (20-50%). Myomectomy is an alternative for women who wish to preserve their fertility, increased risk of blood loss and longer operative time. Since 2000, a significant number of surgeons have performed occlusion of uterine arteries prior to myomectomy successfully.
Case Report: We report the case of a 24-year-old patient, with a history of premature birth; and starts her condition after obstetric event with abnormal uterine bleeding and postcoital bleeding, accompanied by intense, oppressive and stabbing abdominal pain and increased abdominal volume. At physical examination an enlarged abdominal wall by a tumor involving, abdominal pain on palpation, at the gynecological examination: frankly enlarged uterus, about 25 x 20 cm, painful and tenderness. Prior to myomectomy, uterine externalization takes place and proceeds to dearterialization of uterine arteries under the García- González technique, removing the tumor without complications, with an estimated 100 cc bleeding.
The bilateral uterine artery ligation, is one of the methods used to reduce intraoperative blood loss. It is a quick, simple technique, whose theoretical basis is that 90% of the irrigation of the uterus comes from the uterine arteries.

REFERENCES

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