In Low- and Middle-Income Countries the Uterine Tourniquet during Open Myomectomy is a Simple and Efficient Method of Reducing Blood Loss

Background: Uterine fibroids are the most common form of benign uterine tumors. African women reproductive age usually present late with large and numerous fibroids. Conservative surgical treatment requires ways to reduce intraoperative bleeding. This study attempts describe innovative methods in efficient management low-and middle incomes countries. We demonstrate efficiency tourniquet during abdominal polymyomectomy bleeding reduction despite removal myomas. Methods: A prospective, descriptive analytical review was conducted on 92 patients who underwent open myomectomy gynecology department university hospital Cocody (Côte d’Ivoire) over 3 years (2019 2020). Intraoperative steps include placing a before The variations mean hemoglobin levels after myomectomies were compared. significance level set at 5% (p < 0.05). Results: patients’ 38.5 old, 39% nulliparous. Abnormal vaginal main symptom (67.4%). On physical exam size varied significantly from 20 30 cm. average number enucleated ten. duration procedure 155 minutes an estimated blood loss 250 mL. difference between preoperative postoperative not significant 0.061). Only four (4.3%) received transfusion. Conclusions: Placing allowed enucleation several relatively reduced myomectomies. technique can be alternative embolization countries limited resources.