The utility and effectiveness of an internal iliac artery balloon occlusion catheter in surgery for large cervical uterine fibroids

Abstract

For large cervical fibroids with limited operating space, surgery was performed under bleeding control by occlusion of the internal iliac artery with an IIABOC. This technique enables control of hemorrhage and safe operative management in gynecological surgery.

Abdominal Myomectomy for Huge Uterine Myomas with Intra-arterial Balloon Occlusion: Approach to Reduce Blood Loss

“…For a cervical myoma of the uterus and giant uterine leiomyoma that leave no intrapelvic space and prevent palpation and identification of the uterine arteries and the internal iliac arteries, surgery can be performed safely by preoperatively placing balloon catheters in the internal iliac arteries. 1,3 Thus, if this procedure is regarded as one of the feasible approaches, the procedural options for performing myomectomy will likely further increase.…”

“…Indication of this IIABOC is myomectomy for a huge uterine cervical myoma and giant uterine leiomyomas that leave no intrapelvic space and prevent palpation and identification of the uterine arteries and the internal iliac arteries. [1][2][3] Balloon catheters are inserted from each side of the groin and placed in the contralateral internal iliac arteries by the Seldinger technique. Then, the balloons are inflated to interrupt the blood flow to the uterine arteries.…”

Cervical Fibroids: the vaginal intracapsular myomectomy with classification by the fibroids' origin, growth directions and localizations

“…As shown in Tab. 1, the cervical myomectomies were performed via laparoscopic, open, and vaginal approaches, respectively, in 198 (71.48%), 41 (14.8%), and 38 (13.72%) patients in English studies [23,24,26,[33][34][35][36][37][38][39][40][41], including case report studies CR#1 -CR#5 represented in (Suppl.…”

“…The growing number of publications on this topic demonstrated that the prevalence of CFs is underestimated and they could initiate a severe medical condition with miscellaneous symptoms and require challenging surgical treatment for fertility preservation and lifesaving management in obstetric patients [26][27][28]. Therefore many diagnostic and treatment technologies to manage CFs were described in the literature [29][30][31][32][33][34][35][36][37]. According to the recent systematic literature review, laparoscopy was the most frequently used approach in 114 (59.4%) patients among 192 identified cases of surgical and radiologic interventional treatments [37].…”

Use of bilateral internal iliac artery balloon occlusion as a preventative measure for a high‑risk hydatidiform mole treated with surgical evacuation: A case report

“…A single case report exists in the literature in which internal iliac arteries balloons were inserted prophylactically for a high-risk patient with HM undergoing suction curettage; however, despite a 1.1 litre blood loss, the balloons were not inflated and were removed thereafter (5). The patient however, received an oxytocin infusion following the evacuation of the uterine cavity.…”