2.3. Tourniquet Procedure
orotracheal intubation, avascular
All surgical interventions were carried out by a solitary and highly skilled surgeon possessing over a decade of expertise in laparoscopic procedures. This standardization ensured consistency in the surgical techniques and reduced potential variations in the outcomes. Prior to the surgery, neither GnRH agonists nor any intra-operative hemostatic drugs, such as vasopressin injection, were administered. Preoperatively, a single dose of an antibiotic was administrated for prophylaxis. The Foley catheter was removed 24 h after surgery in both groups.Before commencing the surgical procedures, general anesthesia was administered simultaneously with orotracheal intubation.Abdominal entry was accomplished using a direct trocar entry technique. COThe single tourniquet refers to a specialized technique where a tourniquet is utilized to block the uterine arteries by applying pressure on the uterine isthmus. To achieve this, a small incision is made in the avascular area of the broad ligament, located on both sides of the uterine isthmus, specifically above the uterine vessels.The laparoscopic myomectomy with the tourniquet method follows a step-by-step chronological order. First, a homemade tourniquet loop is formed using 1 nonabsorbable thread (In-bag morcellation is performed in order to remove the fibroid(s) or through a mini-laparotomy using the Alexis system.