Alumi Laparoscopic Discussion Board

Tax (Tranexamic acid) IV before Myomectomy
Discussion in 'All Categories' started by Dr Mohammad Atieh - Aug 15th, 2016 4:18 am.
Dr Mohammad Atieh
Dr Mohammad Atieh
Is it safe and effective to give Tranexamic acid intravenous before laparoscopic myomectomy to reduce blood lose . As we read about it regarding gastric sleeve.

Thanks

Dr Muhammad
re: Tax (Tranexamic acid) IV before Myomectomy by Dr R K Mishra - Aug 15th, 2016 8:12 am
#1
Dr R K Mishra
Dr R K Mishra
Dear Dr Muhammad

In the literatures there are strong evidence that prophylactic tranexamic acid reduces bleeding and blood transfusion. It is used extensively in gynecologist surgery and has been available for many years.

However, the real effect of tranexamic acid on thromboembolic events and mortality remains uncertain. Use of Tranexamic Acid does not guarantee that bleeding will be completely absent and real estimation of its effect can not be measured. It may theoretically increase the chances of thromboembolism if duration of surgery is prolonged. Surgical patients should be made aware of this evidence so that they can make an informed consent.
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