3-Tourniquets Utero-Ovarian Ovarian Vessels Ligation Technique for Subtotal Cesarean Hysterectomy at Uthaithanee Hospital

Abstract

Objective:  To compare the 3-tourniquets utero-ovarian vessels ligation technique in subtotal cesarean hysterectomy with standard method.

Materials and Methods: Nine women were performed subtotal cesarean hysterectomy with the 3-tourniquets utero-ovarian vessels ligation technique at Uthaithanee Hospital from March 1, 2011 to January 16, 2012. The control cases were those with standard method before introducing this new technique. Percentage of blood transfusion and mean estimated blood loss were compared between groups.

Results:  Subtotal cesarean hysterectomy with the 3-tourniquets utero-ovarian vessels ligation technique has better results in reduction of blood loss during operation. This new technique required blood transfusion in 22.2% with mean estimated blood loss of 844 cc. For standard technique, the blood transfusion rate was 76.9% and mean estimated blood loss was 1,565 cc.

Conclusion: The 3-tourniquets utero-ovarian vessels ligation technique for subtotal cesarean hysterectomy can temporally stop bleeding from gravid uterus during operation. It significantly reduced blood loss as well as blood transfusion comparing with standard method.