Different Methods to Minimize Blood Loss During Laparoscopic Myomectomy; A Randomized Controlled Clinical Trial
Trial Parameters
Brief Summary
Laparoscopic myomectomy with temporary bilateral uterine artery occlusion or intramyometrial injection of diluted epinephrine will be important to reduce intraoperative bleeding, time of operation and hospitalization period after laparoscopic myomectomy.
Eligibility Criteria
Inclusion Criteria: 1. Women aged from 18 to 39 years. 2. Symptomatizing Women (heavy menstrual bleeding or subfertility). 3. FIGO stage (3-7) by ultrasound. 4. Only uterine corpus fibroid. 5. Up to three fibroids by ultrasound. 6. No previous hormonal treatment. Exclusion Criteria: 1. Patients with bleeding tendency. 2. Patients who refuse to participate in the study or uncooperative patients. 3. Current pregnancy. 4. Any retroperitoneal surgery at pararectal space. 5. More than one cesarean delivery.