REPRODUCTIVE OUTCOMES AFTER THE USE OF TOURNIQUET IN ABDOMINAL MYOMECTOMY
CANSAGE ePoster Library. Kobylianskii A. 09/27/19; 275259; eP-126
Anna Kobylianskii
Anna Kobylianskii
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Abstract
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Objective: To determine whether the pregnancy rate and live birth rate is similar in women of childbearing age undergoing abdominal myomectomy (AM) with the use of a peri-cervical tourniquet compared to women undergoing AM without the use of a tourniquet. Methods: A multi-center retrospective cohort study was conducted at two tertiary care centers affiliated with the University of Toronto. Women of childbearing age (18-45 years old) who underwent AM between June 2002 and 2012 were consecutively sampled. A retrospective chart review was conducted and a self-administered study questionnaire on reproductive outcomes was sent to women meeting inclusion criteria. Unadjusted and multivariable regression analysis was used to compare the groups of patients.Results: 1099 patients met inclusion criteria and 144 returned the study questionnaire. After excluding patients who did not attempt to conceive post-operatively, 82 patients were included in the final statistical analysis. Mean age of patients at time of surgery was 36 years. 28% of surgeries involved use of peri-cervical tourniquet. There was no significant association between the use of tourniquet and post-operative pregnancy rate (p=0.98), live birth rate (p=0.35), or length of time attempting conception after surgery (p=0.91). Conclusion: Our study suggests no significant association between use of tourniquet and live birth outcomes. Concerns about the tourniquet’s impact on fertility may therefore be unfounded, and a more widespread uptake of peri-cervical tourniquet during AM may contribute to limiting surgical blood loss. Further prospective research is warranted with a larger sample size.
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