Intravenous carbetocin vs. uterine tourniquet to reduce blood loss in open myomectomy operation: A randomized clinical trial

Most fibroids are small and do not cause any problems.When they are detected it is usually by chance. Dependingon where the fibroids are located they may cause periodpain, heavy menstrual bleeding or other symptoms;Fibroids can be categorized depending on where theyappear [1].Myomectomy is the surgical removal of leiomyomafrom the uterus, leaving the uterus in place [2].There are three types of myomectomy: hysteroscopicmyomectomy, laparoscopic myomectomy. Openmyomectomy is the most invasive surgical procedure toremove fibroids [3].Laparoscopic myomectomy has less pain and shortertime in hospital than open surgery. Small fibroids can betaken out using laparoscopy or hysteroscopy [4].The ascending blood supply of the uterus is from theuterine arteries, which pass through the cardinal ligament.The descending blood supply is from the ovarian arteries,the uterine and ovarian vessels anastomose to perfuse theuterus [5,