ABSTRACT
Myomectomy is a surgical procedure well known for its morbidity due to a potential for serious intraoperative and postoperative complications. Intraoperative blood loss is deemed one of the most significant of the complications. Therefore, principles of myomectomy and measures to decrease intraoperative blood loss have been extensively described in the literature. Secondary hemorrhage after myomectomy, though rare, is conceivably a life-threatening complication of the procedure. Transarterial embolization is emerging as a safe, effective, and reliable modality for the management of secondary hemorrhage following myomectomy, but the evidence is limited. Time-trusted laparotomy is always an option; however, it should be reserved as the last alternative.
