Results:
A consecutive cohort of 116 patients were treated with this technique (Table 1) from 2016.1 - 2019.12. The overall estimated blood loss (EBL) was 1656.9 ± 1376.6 ml with an average surgical time of 2.2 ± 0.8 h. The uterus was preserved successfully in all patients. Suspending suture has been performed in 16/116 (13.8%) patients. Damage to the bladder occurred in 13/116 (11.2%) patients and were repaired instantly during the surgery, followed with good recovery after bladder irrigation and drainage. All patients recovered well without severe complications such as damage to the ureter, serious infection, or ischemic uterine necrosis.
In the 44 severe cases determined during surgery, only 21 patients received perioperative aortic balloon. The EBL in the balloon group (n = 21) was slightly lower than those without balloon (n = 23) (2913.0 ± 1773.6 ml versus 2809.5 ± 1212.8 ml), however, the difference was not significant (P = 0.824).