Preview

Bulletin of Pirogov National Medical & Surgical Center

Advanced search

BLOOD-SAVING MYOMECTOMY

https://doi.org/10.25881/20728255_2025_20_1_145

Abstract

The article presents a clinical observation of a 35-year-old female patient with the diagnosis: Late postpartum hemorrhage. Hematometra with a pulsating vessel in the uterine cavity. 15th day after the first term delivery. Underlying disease: stage 1 anemia (hemoglobin concentration 93 g / l). Embolization of the uterine arteries was performed. Blood transfusions were not performed. The postoperative period was uneventful. The patient was discharged home in a satisfactory condition on the 5th day after the operation. Hemoglobin concentration at discharge was 92 g / l. It is concluded that organ-preserving surgery of uterine artery embolization can be an effective method for reducing perioperative blood loss in patients with secondary postpartum hemorrhage.

About the Authors

R. R. Turaeva
Republican Clinical Hospital
Russian Federation

Kazan



M. S. Katsyuba
Republican Clinical Hospital; Kazan State Medical Academy – branch of the Federal State Budgetary Educational Institution of Additional Professional Education «Russian Medical Academy of Continuing Professional Education»
Russian Federation

Kazan



E. B. Zhiburt
Pirogov National Medical and Surgical Center
Russian Federation

Moscow



References

1. Shevchenko YuL, Viller AG, Bolomatov NV, et al. Endovascular embolization of posttraumatic false aneurysm in the right hepatic artery basin. Vestnik Nacional’nogo mediko-hirurgicheskogo centra im. N.I. Pirogova. 2011; 6(3): 112-113. (In Russ.)

2. Shevchenko YuL, Kuznetsov AN, Kucherenko SS, et al. Cerebral vasospasm during endovascular interventions on cerebral vessels. Vestnik Nacional’nogo mediko-hirurgicheskogo centra im. N.I. Pirogova. 2010; 5(4): 12-16. (In Russ.)

3. Stoyko YuM, Vetshev PS, Maksimenkov AV et al. Endovascular occlusion in the treatment of a patient with gastrointestinal bleeding from arteriovenous malformation. Vestnik Nacional’nogo mediko-hirurgicheskogo centra im. N.I. Pirogova. 2022; 17(4): 150-152. (In Russ.) doi: 10.25881/20728255_2022_17_4_2_150.

4. Khanaliev BV, Maslennikov MA, Skryabin ES, Litvinova EI. Endovascular embolization of prostatic arteries in the treatment of patients with benign prostatic hyperplasia. Vestnik Nacional’nogo mediko-hirurgicheskogo centra im. N.I. Pirogova. 2021; 16(2): 154-156. (In Russ.)] doi: 10.25881/20728255_2021_16_2_154.

5. Apostolidi KG, Bolomatov NV, Savchuk OV. Contrast angiography with endovascular embolization in bleeding after tonsillectomy. Vestnik Nacional’nogo mediko-hirurgicheskogo centra im. N.I. Pirogova. 2013; 8(3): 111-113. (In Russ.)

6. Zhiburt EB, Madzaev SR, Shestakov EA. Patient’s blood management. 2-e izdanie. M.: Nacional’nyj mediko-hirurgicheskij centr imeni N.I. Pirogova, 2021. (In Russ.)

7. Politova AK, Bolomatov NV, Bruslik SV, et al. Superselective embolization of arteries feeding myomatous nodes in the treatment of patients with uterine fibroids. Vestnik Nacional’nogo mediko-hirurgicheskogo centra im. N.I. Pirogova. 2022; 17(1): 23-27. (In Russ.) doi: 10.25881/20728255_2022_17_1_23.

8. Politova AK, Kira EF, Kokoreva NI. Efficiency of alternative methods of treating uterine fibroids. Vestnik Nacional’nogo mediko-hirurgicheskogo centra im. N.I. Pirogova. 2015; 10(2): 72-74. (In Russ.)

9. Loya MF, Garcia-Reyes K, Gichoya J, Newsome J. Uterine Artery Embolization for Secondary Postpartum Hemorrhage. Tech Vasc Interv Radiol. 2021; 24(1): 100728. doi: 10.1016/ j. tvir.2021.100728.


Review

For citations:


Turaeva R.R., Katsyuba M.S., Zhiburt E.B. BLOOD-SAVING MYOMECTOMY. Bulletin of Pirogov National Medical & Surgical Center. 2025;20(1):145-147. (In Russ.) https://doi.org/10.25881/20728255_2025_20_1_145

Views: 31


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2072-8255 (Print)
ISSN 2782-3628 (Online)