Reducing Operative Blood Loss in Laparoscopic Myomectomy With Umbilico-uterine Trunk Clipping

Reducing Operative Blood Loss in Laparoscopic Myomectomy With Umbilico-uterine Trunk Clipping

the purpose of this study is to examine how Umbilico-uterine trunk occlusion reduces surgery-associated blood loss in Laparoscopic Myomectomy.

Inclusion Criteria:

• Age between 19 and 45
• Symptoms of menorrhagia, pelvic pain, or infertility
• Plan to have a laparoscopic myomectomy
• Number of myomas ≤ 4, with the largest myoma measuring ≤ 9 cm

Exclusion Criteria:

• Postmenopausal status
• Dominant pedunculated subserosal FIGO classification (6-7)
• Submucosal type of myoma FIGO classification (0-2)
• Suspicion of malignant uterine or adnexal diseases
• Major medical comorbidities or psychiatric illnesses that could affect follow-up and/or compliance
• Refusal to participate or provide consent to the procedures.