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Predictors of postoperative hemoglobin drop after laparoscopic myomectomy
INTRODUCTION: Laparoscopic myomectomy (LM) can be associated with significant bleeding. AIM: To identify factors influencing the postoperative hemoglobin (Hb) drop after LM. MATERIAL AND METHODS: This is a retrospective, single-center study. We evaluated data of 150 consecutive patients undergoing L...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Termedia Publishing House
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5397549/ https://www.ncbi.nlm.nih.gov/pubmed/28446936 http://dx.doi.org/10.5114/wiitm.2017.66515 |
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author | Watrowski, Rafał Jäger, Christoph Forster, Johannes |
author_facet | Watrowski, Rafał Jäger, Christoph Forster, Johannes |
author_sort | Watrowski, Rafał |
collection | PubMed |
description | INTRODUCTION: Laparoscopic myomectomy (LM) can be associated with significant bleeding. AIM: To identify factors influencing the postoperative hemoglobin (Hb) drop after LM. MATERIAL AND METHODS: This is a retrospective, single-center study. We evaluated data of 150 consecutive patients undergoing LM due to intramural myomas between 2010 and 2015. RESULTS: The median age of the patients was 37 (23–53) years. The mean diameter of the largest myoma was 5.7 ±2.3 (1.5–12) cm. The mean surgical time was 83 ±38 (35–299) min. The median number of sutures was 3 (1–11). The mean postoperative Hb drop was 1.6 ±1.2 (0–6) g/dl, and the mean estimated blood loss was 261 ±159 (50–1700) ml. In the univariate analysis, the postoperative Hb drop correlated with the duration of surgery (p < 0.001), diameter of the largest myoma (p < 0.001), cumulative myoma weight (p < 0.001), and number of sutures (p < 0.001), but not with patients’ age or number of intramural myomas. In the multivariable analysis, the surgical time (β = 0.395, p < 0.001), diameter of the largest myoma (β = 0.292, p = 0.03) and preoperative Hb concentration (β = 0.299, p < 0.001) predicted the postoperative Hb change. CONCLUSIONS: Surgical time and dominant myoma diameter are independent predictors of the postoperative Hb drop after LM. |
format | Online Article Text |
id | pubmed-5397549 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Termedia Publishing House |
record_format | MEDLINE/PubMed |
spelling | pubmed-53975492017-04-26 Predictors of postoperative hemoglobin drop after laparoscopic myomectomy Watrowski, Rafał Jäger, Christoph Forster, Johannes Wideochir Inne Tech Maloinwazyjne Gynaecology: Original paper INTRODUCTION: Laparoscopic myomectomy (LM) can be associated with significant bleeding. AIM: To identify factors influencing the postoperative hemoglobin (Hb) drop after LM. MATERIAL AND METHODS: This is a retrospective, single-center study. We evaluated data of 150 consecutive patients undergoing LM due to intramural myomas between 2010 and 2015. RESULTS: The median age of the patients was 37 (23–53) years. The mean diameter of the largest myoma was 5.7 ±2.3 (1.5–12) cm. The mean surgical time was 83 ±38 (35–299) min. The median number of sutures was 3 (1–11). The mean postoperative Hb drop was 1.6 ±1.2 (0–6) g/dl, and the mean estimated blood loss was 261 ±159 (50–1700) ml. In the univariate analysis, the postoperative Hb drop correlated with the duration of surgery (p < 0.001), diameter of the largest myoma (p < 0.001), cumulative myoma weight (p < 0.001), and number of sutures (p < 0.001), but not with patients’ age or number of intramural myomas. In the multivariable analysis, the surgical time (β = 0.395, p < 0.001), diameter of the largest myoma (β = 0.292, p = 0.03) and preoperative Hb concentration (β = 0.299, p < 0.001) predicted the postoperative Hb change. CONCLUSIONS: Surgical time and dominant myoma diameter are independent predictors of the postoperative Hb drop after LM. Termedia Publishing House 2017-03-13 2017-03 /pmc/articles/PMC5397549/ /pubmed/28446936 http://dx.doi.org/10.5114/wiitm.2017.66515 Text en Copyright: © 2017 Fundacja Videochirurgii http://creativecommons.org/licenses/by-nc-sa/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License, allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license. |
spellingShingle | Gynaecology: Original paper Watrowski, Rafał Jäger, Christoph Forster, Johannes Predictors of postoperative hemoglobin drop after laparoscopic myomectomy |
title | Predictors of postoperative hemoglobin drop after laparoscopic myomectomy |
title_full | Predictors of postoperative hemoglobin drop after laparoscopic myomectomy |
title_fullStr | Predictors of postoperative hemoglobin drop after laparoscopic myomectomy |
title_full_unstemmed | Predictors of postoperative hemoglobin drop after laparoscopic myomectomy |
title_short | Predictors of postoperative hemoglobin drop after laparoscopic myomectomy |
title_sort | predictors of postoperative hemoglobin drop after laparoscopic myomectomy |
topic | Gynaecology: Original paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5397549/ https://www.ncbi.nlm.nih.gov/pubmed/28446936 http://dx.doi.org/10.5114/wiitm.2017.66515 |
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