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Postoperative CRP Levels and Vaginal Cuff Hematoma

Completed
Conditions
Postoperative Hematoma
Registration Number
NCT03879499
Lead Sponsor
Kanuni Sultan Suleyman Training and Research Hospital
Brief Summary

After laparoscopic hysterectomy, authors aimed to determine cuff hematoma and a postoperative CRP value to help predict the other complications.

A total of 136 patients who underwent total laparoscopic hysterectomy (TLH) were evaluated. CRP, White blood cell (WBC) and hemoglobin values (Hb) were measured on the 1st, 2nd and 7th days before and after the operation. Complications, pre-postoperative vaginal length and female sexual function were evaluated. Fourteen patients who developed cuff hematoma during postoperative follow-up were analyzed with the receiver operating characteristics (ROC) curve. ROC curves with the largest area under the curve for each inflammatory marker were compared in order to define the marker with higher diagnostic accuracy.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
106
Inclusion Criteria

women who underwent TLH operation with benign gynecological indications

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Exclusion Criteria
  • Decided to switch to laparotomy during operation
  • postoperative complication due to relaparotomy
  • infection (including urinary system and lung infections)
  • Blood transfusion after TLH
  • with rheumatic diseases
  • length of hospital stay due to wound infection
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Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Relationship between CRP Levels and cuff hematoma; cuff hematoma measurement15 days

The patients were called to the outpatient clinic after the hysterectomy and evaluated by transvaginal ultrasonography (tvusg) for cuff hematoma.hematoma dimensions recorded in centimeters.

Relationship between CRP Levels and cuff hematoma; crp levels1 week

The value of Postoperative CRP Levels to predict Postoperative Vaginal Cuff Hematoma ; To evaluate tissue trauma and surgical inflammatory responses, venous peripheral blood samples (C-reactive protein) were taken on the first, second and seventh day postoperatively. CRP values were measured under standardized conditions using turbidometry. CRP levels (mg / dl) were recorded.

Secondary Outcome Measures
NameTimeMethod
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