- Academic Editors
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Background: Uterine fibroids are the most common form of benign uterine
tumors. African women of reproductive age usually present late with large and
numerous uterine fibroids. Conservative surgical treatment requires ways to
reduce intraoperative bleeding. This study attempts to describe innovative
methods in the efficient management of fibroids in low-and middle incomes
countries. We demonstrate the efficiency of the uterine tourniquet during
abdominal polymyomectomy in intraoperative bleeding reduction despite removal of
numerous myomas. Methods: A prospective, descriptive and analytical
review was conducted on 92 patients who underwent open myomectomy in the
gynecology department of the university hospital of Cocody (Côte d’Ivoire)
over 3 years (2019 to 2020). Intraoperative surgical steps include placing a
uterine tourniquet before removal of the myomas. The variations in mean
hemoglobin levels before and after myomectomies were compared. The significance
level was set at 5% (p