Skip to main content
Erschienen in: Archives of Gynecology and Obstetrics 1/2012

01.01.2012 | General Gynecology

Intravenous ascorbic acid (vitamin C) administration in myomectomy: a prospective, randomized, clinical trial

verfasst von: Elham Pourmatroud, Leila Hormozi, Masoud Hemadi, Roza Golshahi

Erschienen in: Archives of Gynecology and Obstetrics | Ausgabe 1/2012

Einloggen, um Zugang zu erhalten

Abstract

Background

To assess the usefulness of using ascorbic acid (vitamin C) administration in abdominal myomectomy.

Materials and methods

A total of 102 patients were divided two groups in this prospective, clinical trial. Group A had received 2 g of ascorbic acid during a myomectomy, and group B had a myomectomy without any interventions. The operative time, blood loss, days of hospitalization, post-operative complications and rate of blood transfusions were compared between the two groups.

Results

The blood loss (521.44 ± 199.24 vs. 932.9 ± 264.38 ml; p value <0.001), duration of the operation time (42 ± 13.9 vs. 68 ± 21.7 min; p value <0.001), days of hospitalization (2.7 ± 0.69 vs. 3.1 ± 0.59 days; p value 0.002) in group A were significantly less than in group B (p value 0.001). The chance risk ratio of a blood transfusion in group A was 0.4 (7.7 vs. 18% 95% CI of 0.1–1; p value 0.07). There was a significant correlation between the volume of bleeding and post-operative complications in both groups (p value in group A = 0.03; in group B = 0.004).

Conclusion

The administration of ascorbic acid (vitamin C) in abdominal myomectomy could reduce the blood loss during the procedure, operation time and days of hospitalization.
Literatur
1.
Zurück zum Zitat Imai A, Sugiyama M, Furui T, Tamaya T (2003) Treatment of perimenopasual women with uterine myoma: success use of a depot GnRH agonist leading to natural menopause. J Obstet Gynaecol 23(5):518–520PubMedCrossRef Imai A, Sugiyama M, Furui T, Tamaya T (2003) Treatment of perimenopasual women with uterine myoma: success use of a depot GnRH agonist leading to natural menopause. J Obstet Gynaecol 23(5):518–520PubMedCrossRef
2.
Zurück zum Zitat Parsanezhad ME, Azmoon M, Alborzi S, Rajaeefard A, Zarei A, Kazerooni T et al (2010) A randomized, controlled clinical trial comparing the effects of aromatase inhibitor (letrozole) and gonadotropin-releasing hormone (triptorelin) on uterine leiomyoma volume and hormonal status. Fertil Steril 93(1):192–198PubMedCrossRef Parsanezhad ME, Azmoon M, Alborzi S, Rajaeefard A, Zarei A, Kazerooni T et al (2010) A randomized, controlled clinical trial comparing the effects of aromatase inhibitor (letrozole) and gonadotropin-releasing hormone (triptorelin) on uterine leiomyoma volume and hormonal status. Fertil Steril 93(1):192–198PubMedCrossRef
3.
Zurück zum Zitat Murphy AA, Morales AJ, Kettel LM, Yen SS (1995) Regression of uterine leiomyomata to antiprogestrone RU486: dose–response effect. Fertil Steril 64(1):187–190PubMed Murphy AA, Morales AJ, Kettel LM, Yen SS (1995) Regression of uterine leiomyomata to antiprogestrone RU486: dose–response effect. Fertil Steril 64(1):187–190PubMed
4.
Zurück zum Zitat Huang JY, Kafy S, Dugas A, Valenti D, Tulandi F (2006) Failure of uterine fibroid embolization. Fertil Steril 85(1):30–35PubMedCrossRef Huang JY, Kafy S, Dugas A, Valenti D, Tulandi F (2006) Failure of uterine fibroid embolization. Fertil Steril 85(1):30–35PubMedCrossRef
5.
Zurück zum Zitat Steward EA, Gostout B, Rabinovici J, Kim HS, Regan L, Tempany CM (2007) Sustained relief of leiomyoma symptoms by using focused ultrasound surgery. Obstet Gynecol 110(2 pt 1):279–287CrossRef Steward EA, Gostout B, Rabinovici J, Kim HS, Regan L, Tempany CM (2007) Sustained relief of leiomyoma symptoms by using focused ultrasound surgery. Obstet Gynecol 110(2 pt 1):279–287CrossRef
6.
Zurück zum Zitat Rabinovici J, David M, Fukunishi H, Morita Y, Gostout BS, Steward EA (2010) Pregnancy outcome after magnetic resonance-guided focused ultrasound surgery (MRgFUS) for conservative treatment of uterine fibroids. Fertil Steril 93(1):199–209PubMedCrossRef Rabinovici J, David M, Fukunishi H, Morita Y, Gostout BS, Steward EA (2010) Pregnancy outcome after magnetic resonance-guided focused ultrasound surgery (MRgFUS) for conservative treatment of uterine fibroids. Fertil Steril 93(1):199–209PubMedCrossRef
7.
Zurück zum Zitat Kongyuy EJ, van den Broek N, Wiysonge CS (2008) A systematic review of randomized controlled trials to reduce hemorrhage during myomectomy for uterine fibroids. Int J Gynecol Obstet 100(1):4–9CrossRef Kongyuy EJ, van den Broek N, Wiysonge CS (2008) A systematic review of randomized controlled trials to reduce hemorrhage during myomectomy for uterine fibroids. Int J Gynecol Obstet 100(1):4–9CrossRef
8.
Zurück zum Zitat Alexander W (1898) Med press Circ 66:349 Alexander W (1898) Med press Circ 66:349
9.
Zurück zum Zitat Bonney V (1931) The technique and results of myomectomy. Lancet 220:171–177CrossRef Bonney V (1931) The technique and results of myomectomy. Lancet 220:171–177CrossRef
10.
Zurück zum Zitat Helal AS, Abdel-Hady ES, Refaie E, El Shamy MAE, Fattah R, Mashaly AM (2010) Preliminary uterine artery ligation versus pericervical mechanical tourniquet in reducing hemorrhage during abdominal myomectomy. Int J Gynaecol Obstet 108(3):233–235PubMedCrossRef Helal AS, Abdel-Hady ES, Refaie E, El Shamy MAE, Fattah R, Mashaly AM (2010) Preliminary uterine artery ligation versus pericervical mechanical tourniquet in reducing hemorrhage during abdominal myomectomy. Int J Gynaecol Obstet 108(3):233–235PubMedCrossRef
11.
Zurück zum Zitat Shimanuki H, Takeuchi H, Kitade M, Kikuchi I, Kumakiri J, Kinoshita K (2006) The effect of vasopressin on local and general circulation during laparoscopic surgery. J Minim Invasive Gynecol 13:190–194PubMedCrossRef Shimanuki H, Takeuchi H, Kitade M, Kikuchi I, Kumakiri J, Kinoshita K (2006) The effect of vasopressin on local and general circulation during laparoscopic surgery. J Minim Invasive Gynecol 13:190–194PubMedCrossRef
12.
Zurück zum Zitat Caglar GS, Tasci Y, Kayikcioglu F, Haberal A (2008) Intravenous tranexamic acid use in myomectomy: a prospective randomized double-blind placebo controlled study. Eur J Obstet Gynecol Reprod Biol 137(2):227–231PubMedCrossRef Caglar GS, Tasci Y, Kayikcioglu F, Haberal A (2008) Intravenous tranexamic acid use in myomectomy: a prospective randomized double-blind placebo controlled study. Eur J Obstet Gynecol Reprod Biol 137(2):227–231PubMedCrossRef
13.
Zurück zum Zitat Celik H, Sapmaz E (2003) Use of a single preoperative dose of misoprostol is efficacious for patients who undergo abdominal myomectomy. Fertil Steril 79:1207–1210PubMedCrossRef Celik H, Sapmaz E (2003) Use of a single preoperative dose of misoprostol is efficacious for patients who undergo abdominal myomectomy. Fertil Steril 79:1207–1210PubMedCrossRef
14.
Zurück zum Zitat Wang CJ, Lee CL, Yuen LT, Kay N, Han CM, Soong YK (2007) Oxytocin infusion in laparoscopic myomectomy may decrease operative blood loss. J Minim Invasive Gynecol 14(2):184–188PubMedCrossRef Wang CJ, Lee CL, Yuen LT, Kay N, Han CM, Soong YK (2007) Oxytocin infusion in laparoscopic myomectomy may decrease operative blood loss. J Minim Invasive Gynecol 14(2):184–188PubMedCrossRef
15.
Zurück zum Zitat Kongnyuy EJ, Wiysong CS (2009) Interventions to reduce haemorrhage during myomectomy for fibroids. Cochrane Database Syst Rev 3:CD005355PubMed Kongnyuy EJ, Wiysong CS (2009) Interventions to reduce haemorrhage during myomectomy for fibroids. Cochrane Database Syst Rev 3:CD005355PubMed
16.
Zurück zum Zitat Savini I, Catani MV, Arnone R, Rossi A, Frega G, Del Principe D et al (2007) Translational control of the ascorbic acid transporter SVCT2 in human platelets. Free Radic Biol Med 42(5):608–616PubMedCrossRef Savini I, Catani MV, Arnone R, Rossi A, Frega G, Del Principe D et al (2007) Translational control of the ascorbic acid transporter SVCT2 in human platelets. Free Radic Biol Med 42(5):608–616PubMedCrossRef
17.
Zurück zum Zitat Tsukaguchi H, Tokvi T, Mackenzie B, Berger UV, Chen XZ, Wang Y (1999) A family of mammalian Na+-dependent l-ascorbic acid transporters. Nature 399:70–75PubMedCrossRef Tsukaguchi H, Tokvi T, Mackenzie B, Berger UV, Chen XZ, Wang Y (1999) A family of mammalian Na+-dependent l-ascorbic acid transporters. Nature 399:70–75PubMedCrossRef
18.
Zurück zum Zitat van der Meijden PEJ, Heemskerk JWM, Hamulyak K, Ten cate H (2005) Classification of venous thromoembolism. J Thromb Haemost 3:2575–2577PubMedCrossRef van der Meijden PEJ, Heemskerk JWM, Hamulyak K, Ten cate H (2005) Classification of venous thromoembolism. J Thromb Haemost 3:2575–2577PubMedCrossRef
19.
Zurück zum Zitat Vyshevskii A, Galian SL, El’detsova SN, Selivanova IV, Solov’ev VG (1995) The role of platelets in the protective effect of a combination of vitamins A, E, C and P in thrombinemia. Gematol Transfuziol 40(5):9–11PubMed Vyshevskii A, Galian SL, El’detsova SN, Selivanova IV, Solov’ev VG (1995) The role of platelets in the protective effect of a combination of vitamins A, E, C and P in thrombinemia. Gematol Transfuziol 40(5):9–11PubMed
20.
Zurück zum Zitat Zucker MB, Wu YS, Mauss EA (1990) Decrease in platelet ascorbic acid produced by aggregation. Thromb Haemost 64:179PubMed Zucker MB, Wu YS, Mauss EA (1990) Decrease in platelet ascorbic acid produced by aggregation. Thromb Haemost 64:179PubMed
21.
Zurück zum Zitat Beutler E (1996) G6PD: population genetics and clinical manifestations. Blood Rev 10(1):45–52PubMedCrossRef Beutler E (1996) G6PD: population genetics and clinical manifestations. Blood Rev 10(1):45–52PubMedCrossRef
22.
Zurück zum Zitat Blee TH, Cogbill TH, Lambert PJ (2002) Hemorrhage associated with vitamin C deficiency in surgical patients. Surgery 131:408–412PubMedCrossRef Blee TH, Cogbill TH, Lambert PJ (2002) Hemorrhage associated with vitamin C deficiency in surgical patients. Surgery 131:408–412PubMedCrossRef
23.
Zurück zum Zitat Fukushima R, Yamazaki E (2010) Vitamin C requirement in surgical patients. Curr Opin Clin Nutr Metab Care Aug 4 (Epub ahead of print) Fukushima R, Yamazaki E (2010) Vitamin C requirement in surgical patients. Curr Opin Clin Nutr Metab Care Aug 4 (Epub ahead of print)
24.
Zurück zum Zitat Berger MM, Soguel L, Shenkin A, Revelly JP, Pinget C, Baines M et al (2008) Influence of early antioxidant supplements on clinical evolution and organ function in critically ill cardiac surgery, major trauma, and subarachnoid hemorrhage patients. Crit care 12(4):101CrossRef Berger MM, Soguel L, Shenkin A, Revelly JP, Pinget C, Baines M et al (2008) Influence of early antioxidant supplements on clinical evolution and organ function in critically ill cardiac surgery, major trauma, and subarachnoid hemorrhage patients. Crit care 12(4):101CrossRef
25.
Zurück zum Zitat He D, Hou L (1988) Effects of high dose ascorbic acid on haemostasis during and after cardiopulmonary bypass. Perfusion 3(4):281–286CrossRef He D, Hou L (1988) Effects of high dose ascorbic acid on haemostasis during and after cardiopulmonary bypass. Perfusion 3(4):281–286CrossRef
26.
Zurück zum Zitat Levine M, Rumsey SC, Daruwala R, Park JB, Wang Y (1999) Criteria and recommendations for vitamin C intake. JAMA 281:1415–1423PubMedCrossRef Levine M, Rumsey SC, Daruwala R, Park JB, Wang Y (1999) Criteria and recommendations for vitamin C intake. JAMA 281:1415–1423PubMedCrossRef
27.
Zurück zum Zitat Johanston CS, Corte C (1999) People with marginal vitamin C status are at high risk of developing vitamin C deficiency. J Am Diet Assoc 99:854–856CrossRef Johanston CS, Corte C (1999) People with marginal vitamin C status are at high risk of developing vitamin C deficiency. J Am Diet Assoc 99:854–856CrossRef
28.
Zurück zum Zitat Johonston CS, Solomon RE, Corte C (1998) Vitamin C status of a campus population: college students get a C minus. J Am Coll Health 46:209–213CrossRef Johonston CS, Solomon RE, Corte C (1998) Vitamin C status of a campus population: college students get a C minus. J Am Coll Health 46:209–213CrossRef
Metadaten
Titel
Intravenous ascorbic acid (vitamin C) administration in myomectomy: a prospective, randomized, clinical trial
verfasst von
Elham Pourmatroud
Leila Hormozi
Masoud Hemadi
Roza Golshahi
Publikationsdatum
01.01.2012
Verlag
Springer-Verlag
Erschienen in
Archives of Gynecology and Obstetrics / Ausgabe 1/2012
Print ISSN: 0932-0067
Elektronische ISSN: 1432-0711
DOI
https://doi.org/10.1007/s00404-011-1897-7

Weitere Artikel der Ausgabe 1/2012

Archives of Gynecology and Obstetrics 1/2012 Zur Ausgabe

Update Gynäkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert – ganz bequem per eMail.