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Uterine artery occlusion at myomectomy? Toward a better definition of the indications

Uterine artery occlusion at myomectomy? Toward a better definition of the indications
Myomectomy to remove uterine fibroids may involve significant blood loss. The main source of blood supply of the uterus is from a pair of uterine arteries. Therefore, uterine artery occlusion has been used as a strategy to decrease intraoperative blood loss over the past two decades. Understanding the surgical anatomy of the uterine arteries is necessary to balance the benefits and the risks of uterine artery occlusion, particularly if it is permanent. The uterine arteries originate from the anterior division of the internal iliac artery; they pass through the cardinal ligament and acquire a helical course in the broad ligament alongside the uterus and give up multiple concentrically arranged anterior and posterior arcuate arteries.
Source: fertstert.org

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