open access

Vol 93, No 11 (2022)
Research paper
Published online: 2021-10-07
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Epidural anaesthesia and myomectomy-associated blood loss — a prospective randomised controlled study

Mohamed Farghali1, Abdelrady S. Ibrahim2, Waleed S. Farrag2
·
Pubmed: 35072219
·
Ginekol Pol 2022;93(11):861-866.
Affiliations
  1. Faculty of Medicine, Ain Shams University, Abbassia, Egypt
  2. Faculty of Medicine, Assiut University Hospital, Assiut University, Assiut, Egypt

open access

Vol 93, No 11 (2022)
ORIGINAL PAPERS Gynecology
Published online: 2021-10-07

Abstract

Objectives: The management of anaesthesia for patients with large myomas is particularly important due to disruption
of hemodynamic as a result of massive haemorrhage, the prolonged duration of surgery and requirement for additional
interventions. This study evaluated the effect of anaesthetic technique on blood loss in patients undergoing myomectomy
due to large fibroid uterus.

Material and methods: A total of 156 patients that underwent myomectomy were randomized into two equal groups
according to the type of anaesthesia: Epidural anaesthesia group and General anaesthesia group. The volume of blood
loss and blood products transfusion was reviewed for each patient.

Results: The intraoperative blood loss and need for blood transfusion were significantly higher in general anaesthesia
group (p < 0.001). The mean hematocrit change was 2.5 ± 1.5 vs 3.7 ± 2.9 % (p = 0.001) for both groups.

Conclusions: In the myomectomy planning of women with a large fibroid uterus, the team of gynecologists and anaesthesiologists should take care to choose the most optimal technique for anaesthesia.

Abstract

Objectives: The management of anaesthesia for patients with large myomas is particularly important due to disruption
of hemodynamic as a result of massive haemorrhage, the prolonged duration of surgery and requirement for additional
interventions. This study evaluated the effect of anaesthetic technique on blood loss in patients undergoing myomectomy
due to large fibroid uterus.

Material and methods: A total of 156 patients that underwent myomectomy were randomized into two equal groups
according to the type of anaesthesia: Epidural anaesthesia group and General anaesthesia group. The volume of blood
loss and blood products transfusion was reviewed for each patient.

Results: The intraoperative blood loss and need for blood transfusion were significantly higher in general anaesthesia
group (p < 0.001). The mean hematocrit change was 2.5 ± 1.5 vs 3.7 ± 2.9 % (p = 0.001) for both groups.

Conclusions: In the myomectomy planning of women with a large fibroid uterus, the team of gynecologists and anaesthesiologists should take care to choose the most optimal technique for anaesthesia.

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Keywords

epidural anaesthesia; general anaesthesia; myomectomy; blood loss

About this article
Title

Epidural anaesthesia and myomectomy-associated blood loss — a prospective randomised controlled study

Journal

Ginekologia Polska

Issue

Vol 93, No 11 (2022)

Article type

Research paper

Pages

861-866

Published online

2021-10-07

Page views

4038

Article views/downloads

1016

DOI

10.5603/GP.a2021.0186

Pubmed

35072219

Bibliographic record

Ginekol Pol 2022;93(11):861-866.

Keywords

epidural anaesthesia
general anaesthesia
myomectomy
blood loss

Authors

Mohamed Farghali
Abdelrady S. Ibrahim
Waleed S. Farrag

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