The major risk of open myomectomy is intraoperative hemorrhage, and several strategies have been suggested to reduce bleeding [1], While injections of dilute vasopressin or its derivatives are the most widely used, tourniquets that render the uterus avascular during surgery are the most effective. The classic technique involves placing a clamp, catheter, or suture around the cervix (single tourniquet technique) and the infundibulopelvic ligaments (triple tourniquet technique) to occlude the uterine and ovarian blood supplies respectively.
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