Uterine artery embolization prior to hysterectomy as a prevention of the risk of hemorrhage

Abstract

Uterine leiomyomas are the most common tumors of the female genital tract, patients with uterine fibroids are usually asymptomatic. Approximately 20-50% of them experience acute symptoms such as pelvic pain, vaginal bleeding, or infertility, and will require treatment. Among the treatment options are conservative (hysteroscopy, laparoscopy or open myomectomy) and radical (hysterectomy) depending mainly on the reproductive desire of the patient. The purpose of presenting this series of clinical cases is to present a new alternative in the management of uterine leiomyomas, combining the use of uterine artery embolization and subsequent performance of total abdominal hysterectomy.

Keywords

• Embolization. Uterine arteries. Hysterectomy. Transfusion. Hemorrhage. Myomectomy.