Evidence map›Paper›PMID 38528094›Full record

Trial reportScientific reports2024

Surgical impact of bilateral transient occlusion of uterine and utero-ovarian arteries during laparoscopic myomectomy.

Enrique Moratalla-Bartolomé, Jesús Lázaro-de-la-Fuente, Irene López-Carrasco, Elena Cabezas-López, Jose Carugno, Javier Sancho-Sauco, Irene Pelayo-Delgado

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
4.7field-weighted citation impact, top 5% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Surgical management of uterine fibroids.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
    Review
  5. Article
  6. Article
  7. 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

7 authors at 4 institutions in 2 countries.

Enrique Moratalla-BartoloméDepartment of Obstetrics and Gynecology, Ramón y Cajal University Hospital, 3428034, Madrid, Spain.
Jesús Lázaro-de-la-FuenteDepartment of Obstetrics and Gynecology, Ramón y Cajal University Hospital, 3428034, Madrid, Spain.
Irene López-CarrascoDepartment of Obstetrics and Gynecology, HM Montepríncipe-Sanchinarro University Hospital, 3428050, Madrid, Spain.
Elena Cabezas-LópezDepartment of Obstetrics and Gynecology, Ramón y Cajal University Hospital, 3428034, Madrid, Spain.
Jose CarugnoMinimally Invasive Gynecology Division, Department of Obstetrics, Gynecology and Reproductive Sciences, University of Miami, Florida, USA.
Javier Sancho-SaucoDepartment of Obstetrics and Gynecology, Ramón y Cajal University Hospital, 3428034, Madrid, Spain.
Irene Pelayo-DelgadoDepartment of Obstetrics and Gynecology, Ramón y Cajal University Hospital, Alcalá de Henares University, 3428034, Madrid, Spain. irene.pelayo@uah.es.ORCID 0000-0002-3532-5265
Instituto Cajal · ESHospital Universitario HM Sanchinarro · ESUniversidad de Alcalá · ESUniversity of Miami · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The objective of this article is to compare the amount of intraoperative blood loss during laparoscopic myomectomy when performing bilateral transient clamping of the uterine and utero-ovarian arteries versus no intervention. It´s a randomized controlled prospective study carried out in the Department of Obstetrics and Gynecology Ramón y Cajal University Hospital and HM Montepríncipe-Sanchinarro University Hospital, Madrid, Spain, in women with fibroid uterus undergoing laparoscopic myomectomy. Eighty women diagnosed with symptomatic fibroid uterus were randomly assigned to undergo laparoscopic myomectomy without additional intervention (Group A) or temporary clamping of bilateral uterine and utero-ovarian arteries prior to laparoscopic myomectomy (Group B). Estimated blood loss, operating time, length of hospital stay, and postoperative hemoglobin values were compared in both groups. The number of fibroids removed was similar in both groups (p = 0.77). Estimated blood loss was lower in the group of patients with prior occlusion of uterine arteries (p = 0.025) without increasing operating time (p = 0.17) nor length of stay (p = 0.17). No patient had either intra or postoperative complications. Only two patients (2.5%) required blood transfusion after surgery. We conclude that temporary clamping of bilateral uterine arteries prior to laparoscopic myomectomy is a safe intervention that reduces blood loss without increasing operative time.

Indexed as

LaparoscopyLeiomyomaUterine MyomectomyUterine NeoplasmsBlood Loss, SurgicalFemaleHumansProspective StudiesUterine ArteryBlood lossTemporary artery ligationUterine fibroids

Identifiers

PMID38528094
PMCPMC10963736
OpenAlexW4393162467

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.