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18.09.2018 | General Gynecology

Hemodynamic effects of intramyometrial epinephrine injection for blood loss reduction in laparoscopic myomectomy

verfasst von: Jana Nickol, Sebastian Berlit, Stefanie Lis, Amadeus Hornemann, Charalambos Tsagogiorgas, Marc Sütterlin, Benjamin Tuschy

Erschienen in: Archives of Gynecology and Obstetrics | Ausgabe 5/2018

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Abstract

Purpose

To evaluate changes in hemodynamic effects of intramyometrial epinephrine injection for blood loss reduction in laparoscopic myomectomy.

Methods

A total of 185 women with symptomatic uterine fibroids who underwent laparoscopic myomectomy were enrolled in this study. Eighty-six women (study collective) received an intramyometrial injection of epinephrine and were compared to ninety-nine women (control collective) who underwent laparoscopic myomectomy without an intramyometrial epinephrine injection. Demographic parameters, change of hemodynamic parameters during surgery as well as hemoglobin drop after surgery were analyzed.

Results

In the study collective maximum systolic blood pressure (p < 0.001), maximum increase of the systolic blood pressure within 5 min (p = 0.003), duration of hypertension (p = 0.012), maximal (p < 0.001) and mean heart rate (p = 0.005), maximal increase of heart rate within 5 min (p = 0.003) and difference of mean to maximal heart rate (p < 0.001) were higher compared to the control collective. There was no difference in pre- and postoperative hemoglobin levels in both collectives and no intraoperative clinically relevant complication occurred due to intramyometrial epinephrine injection.

Conclusion

The intramyometrial application of epinephrine seems to be safe but leads to significant alterations of hemodynamic parameters without a significant change in postoperative hemoglobin levels.

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Titel: Hemodynamic effects of intramyometrial epinephrine injection for blood loss reduction in laparoscopic myomectomy
verfasst von: Jana Nickol
Sebastian Berlit
Stefanie Lis
Amadeus Hornemann
Charalambos Tsagogiorgas
Marc Sütterlin
Benjamin Tuschy
Publikationsdatum: 18.09.2018
Verlag: Springer Berlin Heidelberg
Erschienen in: Archives of Gynecology and Obstetrics / Ausgabe 5/2018
Print ISSN: 0932-0067
Elektronische ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-018-4891-5

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Hemodynamic effects of intramyometrial epinephrine injection for blood loss reduction in laparoscopic myomectomy