Which complication is a surgeon trying to avoid during a myomectomy?

During a myomectomy, which is a surgical procedure to remove uterine fibroids, a primary concern for surgeons is to minimize the risk of excessive blood loss. This procedure often involves manipulating vascular structures, particularly the uterine artery, which can lead to significant bleeding if not handled carefully. The uterus has a rich blood supply, and since myomectomy can involve the removal of muscle and fibrous tissues, there is a risk of damaging blood vessels, resulting in complications if hemorrhage occurs.

Controlling blood loss is critical not only for patient safety but also for achieving a successful surgical outcome. Maintaining hemodynamic stability improves recovery and minimizes the need for blood transfusions, which can introduce further risks and complications.

While infections, drug reactions, and air embolisms are also important considerations in any surgical procedure, they are generally less common focuses during a myomectomy compared to the immediate risk of significant blood loss. Thus, the emphasis on preventing excessive blood loss directly correlates with the surgical goals and challenges faced during this type of surgery.