Preoperative Uterine Artery Embolization (PUAE) Before Uterine Fibroid Myomectomy

Abstract

Preoperative embolization is associated with minimal intraoperative blood loss. It does not increase the complication rate or impair operative dissection, and improves the chances of performing conservative surgery.

Endovascular Therapeutic Embolisation: An Overview of Occluding Agents and their Effects on Embolised Tissues

“…Because the material is absorbed completely, the vascular lumen and blood flow are fully restored after a few weeks. Gelatine sponge is used before surgery to decrease bleeding during the procedure, most notably when treating patients with tumours [4].…”

Uterine Artery Embolization to Treat Uterine Adenomyosis with or without Uterine Leiomyomata: Results of Symptom Control and Health-Related Quality of Life 40 Months after Treatment

“…Although clinical manifestations of uterine leiomyomata and uterine adenomyosis are similar, their treatment may differ. In addition to medical treatment and hysterectomy, uterine-sparing treatment options such as myomectomy, hysteroscopic resection, and uterine artery embolization (UAE) are well-established treatment options for symptomatic leiomyomata [8].…”

Unusual complication after uterine artery embolization and laparoscopic myomectomy in a woman wishing to preserve future fertility

“…Very little information can be found in the literature on the use of UAE before myomectomy. Dumousset et al (21) reported 22 cases of preoperative UAE and concluded that this procedure does not increase the complication rate or impair operative dissection, and therefore improves the chances of performing conservative surgery. They claim that a multidisciplinary discussion led them to believe that excision of uterine fibroids in three patients would not have been possible without preliminary preoperative UAE, due to the presence of polymyomatous uteri with dominant fibroids larger than 8 cm.…”