Kaneda H, et al. – The purpose of this study is to research the effectiveness and safety of the internal iliac artery balloon occlusion catheter (IIABOC) for controlling intraoperative bleeding in total abdominal hysterectomies (TAH) and abdominal myomectomies (AM) for large cervical fibroids. For large cervical fibroids with limited operating space, surgery was performed under bleeding control by occlusion of the internal iliac artery with an IIABOC. This technique enables control of hemorrhage and safe operative management in gynecological surgery.

Methods

• From 2007 to 2014, the IIABOC was utilized in 22 cases (12 for TAH and 10 for AM) in which cervical fibroids fully occupied the pelvic cavity.
• In this study, intraoperative blood loss, operating time, sample weight, utilization of blood transfusion, and injury to other organs were evaluated.

Results

• Mean blood loss, operative time, and sample weight in the IIABOC cases were 510 mL, 178 min, and 2550 g for TAH; and 727.5 mL, 157.5 min, and 1850 g for AM.
• Blood loss divided by sample weight in IIABOC cases was significantly lower than that in non–IIABOC cases amid the same time period, for both TAH and AM.
• Allogeneic blood transfusion was not necessary, and complications of injury to other organs did not occur in any of the 22 cases.