Evidence map›Paper›PMID 34014408›Full record

ArticleCVIR endovascular2021

Reducing the risk of bleeding after myomectomy: is preemptive embolization a valuable tool?

Ylann Abrahami, Sophia Najid, Arthur Petit, Eric Sauvanet, Luigi Novelli

Open access · goldAbstract read
In one paragraph

Article in CVIR endovascular, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 33% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Ylann AbrahamiDepartment of Gynecologic Surgery and Obstetrics, Hopital Paris Saint-Joseph, 185 rue Raymond Losserand, 75014, Paris, France.
Sophia NajidDepartment of Gynecologic Surgery and Obstetrics, Hopital Paris Saint-Joseph, 185 rue Raymond Losserand, 75014, Paris, France.
Arthur PetitDepartment of Interventional Radiology, Hopital Paris Saint-Joseph, Paris, Ile-de-France, France.
Eric SauvanetDepartment of Gynecologic Surgery and Obstetrics, Hopital Paris Saint-Joseph, 185 rue Raymond Losserand, 75014, Paris, France. esauvanet@ghpsj.fr.
Luigi NovelliDepartment of Interventional Radiology, Hopital Paris Saint-Joseph, Paris, Ile-de-France, France.
Hôpital Paris Saint-Joseph · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAbdominal myomectomy can be a challenging procedure, with elevated intraoperative blood loss and post-operative complications such as the need for blood transfusion and hemostasis with sometimes hysterectomy. Previous studies suggested that preemptive uterine artery embolization (PUAE) might reduce intraoperative blood loss. MATERIALS AND

methodsWe reviewed all cases of abdominal myomectomy in our institution between January 2016 and June 2018. Out of 119 cases, 16 patients had PUAE and 103 did not. The objective of our study was to determine whereas PUAE reduced blood loss and post-operative complication rate.

resultsIn our study, there was no difference between the two groups in regard to average blood loss (128 vs 192 mL, OR 1,00 [0.99;1,01], p = 0,73), difference between pre- and post-operative hemoglobin level (- 1,15 g/dL vs - 1,32 g/dL, OR 0,91 [0.47;1,73], p = 0,79), and post-operative complications (need for transfusion, surgical revision, post-operative embolization, hysterectomy).

conclusionOur findings could not conclude that PUAE is effective in reducing intraoperative blood loss during abdominal myomectomy, but it should still be considered an option for patients with large or multiple myomas, with a specific situation or previously operated, who wish to preserve their uterus.

Indexed as

Gelatin sponge-like particlesMyomectomyPreemptiveUterine artery embolizationUterine fibroids

Identifiers

PMID34014408
PMCPMC8137760
OpenAlexW3160422495

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.