# Preoperative treatment with GnRH analogue to shrink the fibroid
# Surgeon may intraoperatively inject dilute Vasopressin ( 1 IU in 100 mL RL) to reduce bleeding. IV Vasopressin can cause raised BP, myocardial ischemia, arrhythmias etc
# Position: Dorsal lithotomy; steep Trendlenberg to move the bowel out of surgical field
# Surgical time :1-4 hours; EBL: 100-600 mL
# Complications:
Puncture of major vessel/ severe bleeding
Insufflation in the wrong place
Air Embolism
Need for conversion to laparotomy
Peroneal nerve damage from positioning
# Pain score : 4-6
The Lay Medical Man 