Design of an Intra-operative Blood Conservation Pathway at Open Myomectomy

Uterine fibroids are benign uterine masses that can be removed through a surgical procedure called a myomectomy. Myomectomy is often associated with a significant amount of blood loss for the patient. The large volume of blood lost can increase post-operative complications and lead patients to require blood replacement (blood transfusion). To reduce the amount of blood lost during the surgical procedure and the need for blood transfusions, interventions such as medications and surgical techniques have been used. While evidence in the literature exists for these techniques, there is no standardized approach to this problem in clinical practice. The objective of this study is to create a novel intra-operative blood conservation pathway, using a modified Delphi expert consensus approach, to decrease the amount of blood lost during myomectomy. The current study is expected to benefit patients undergoing myomectomy through an improved surgical experience, reduction in blood transfusion rates, and reduction in associated complications.

Sex

All

Inclusion Criteria:

* knowledge and experience with fibroid patient population or interventions to reduce major blood loss at surgery
* sufficient time and willingness to participate.
* A member from academic and/or community hospital

Exclusion Criteria:

* insufficient knowledge and experience with fibroid patient population or interventions to reduce major blood loss at surgery
* insufficient time or not willing to participate
* Not a member from academic and/or community hospital