Hidden blood loss and its risk factors in patients undergoing laparoscopy and laparotomy for cervical cancer management.

Abstract:

PURPOSE:Laparoscopy and laparotomy are the two most common surgical options used to treat women with early-stage cervical cancer. This study aimed to examine the volume of hidden blood loss (HBL) between laparoscopy and laparotomy for cervical cancer and to identify its risk factors. METHODS:Sixty-one patients treated with laparotomy and 50 patients treated with laparoscopy were enrolled in this study. Their medical data were collected to calculate the HBL according to the Nadler and Gross formula, and its risk factors were identified by multiple linear regression analysis. RESULTS:The visible blood loss was 574.9 ± 271.6 mL in the laparotomy surgery; however, the HBL was 345.2 ± 258.6 mL, accounting for 38.3 ± 21.4% of true TBL. The visible blood loss in the laparoscopy group was 168.9 ± 121.9 mL, and the HBL was 185.1 ± 130.5 mL (52.3 ± 28.1% of true TBL). The HBL blood loss in laparotomy was more than laparoscopy (p < 0.01). Multiple linear regression analysis suggested that patient age (p = 0.012), surgical time (p = 0.037) and pathological tumour type (p = 0.014) were independent risk factors contributing to HBL in laparotomy. Meanwhile, the following risk factors were positively correlated with HBL in laparoscopy: pre-operative value of Hb (p = 0.002), pre-operative value of Hct (p = 0.003), surgical time (p = 0.035), pathological tumour type (p = 0.036) and diabetes mellitus (p = 0.022). Ten and eight patients had pre-operative anaemia in the laparotomy group and the laparoscopy group, respectively, and 54 and 29 post-operatively. CONCLUSIONS:HBL is seriously underestimated, and accounts for a large percentage of total blood loss both in laparotomy and laparoscopy for cervical cancer. Additionally, age, pathological tumour type, pre-operative value of Hb and Hct, surgical time and diabetes mellitus have the potential to increase HBL. A correct understanding of HBL can ensure patient safety and improve post-operative rehabilitation.

journal_name

Arch Gynecol Obstet

authors

Zhao Y,Hu J,Xiang J,Li W,Zhu X,Zhao M,Sun R,Hu Y,Zhang Q

doi

10.1007/s00404-019-05162-4

subject

Has Abstract

pub_date

2019-07-01 00:00:00

pages

183-189

issue

1

eissn

0932-0067

issn

1432-0711

pii

10.1007/s00404-019-05162-4

journal_volume

300

pub_type

杂志文章
  • Timing of intrauterine insemination: an attempt to unravel the enigma.

    abstract:INTRODUCTION:Controlled ovarian stimulation (COS) with intrauterine insemination (IUI) is an effective treatment in cases of cervical factor, unexplained infertility and mild male factor. The optimal timing of IUI after human chorionic gonadotrophin (hCG) after COS with clomiphene citrate is debatable and may be a fact...

    journal_title:Archives of gynecology and obstetrics

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s00404-011-1950-6

    authors: Rahman SM,Karmakar D,Malhotra N,Kumar S

    更新日期:2011-10-01 00:00:00

  • Persistent subumbilical discharge associated with actinomycosis caused by intrauterine contraceptive device: a case report.

    abstract::Intrauterine devices are a very effective form of contraception used worldwide for more than 2 centuries. One of the serious, but rare, complications of intrauterine contraception is perforation through the uterine wall into the pelvic or abdominal cavity. In this report we describe, persistent periumbilical discharge...

    journal_title:Archives of gynecology and obstetrics

    pub_type: 杂志文章

    doi:10.1007/s00404-007-0477-3

    authors: Polat I,Gungorduk K,Polat G,Yildirim G,Aslan H,Tekirdag AI

    更新日期:2008-05-01 00:00:00

  • Comparison of isosorbide mononitrate (Mono Mack) and misoprostol (Cytotec) for cervical ripening in the first trimester missed abortion.

    abstract:OBJECTIVE:The objective of this study was to compare NO-donor isosorbide mononitrate to misoprostol, both applied as vaginal tablets for cervical ripening prior to first trimester curettage in patients with missed abortion. MATERIALS AND METHODS:Thirty women with missed abortion were assigned after a random list to be...

    journal_title:Archives of gynecology and obstetrics

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s00404-005-0014-1

    authors: David M,Chen FC

    更新日期:2005-12-01 00:00:00

  • Development of fetal brain sulci and gyri: assessment through two and three-dimensional ultrasound and magnetic resonance imaging.

    abstract:BACKGROUND:Cerebral malformations may lead to permanent postnatal sequels. The antenatal detection of anomalous or absent fetal sulci and gyri may indicate abnormal brain development and future neurological and psychomotor problems in that infant. The prenatal diagnosis of these conditions allows genetic counseling, ps...

    journal_title:Archives of gynecology and obstetrics

    pub_type: 杂志文章,评审

    doi:10.1007/s00404-010-1691-y

    authors: Rolo LC,Araujo Júnior E,Nardozza LM,de Oliveira PS,Ajzen SA,Moron AF

    更新日期:2011-02-01 00:00:00

  • Fetal transverse cerebellar diameter measured by ultrasound does not differ between genders.

    abstract:PURPOSE:The aim of this study was to determine the correlation between fetal transverse cerebellar diameter (TCD) and gestational age of male and female fetus in women under low-risk prenatal care between the 13th and 40th week of gestation. METHODS:A cross-sectional study was carried out with 184 pregnant women, at t...

    journal_title:Archives of gynecology and obstetrics

    pub_type: 杂志文章

    doi:10.1007/s00404-010-1644-5

    authors: Holanda-Filho JA,Souza AI,Souza AS,Figueroa JN,Ferreira AL,Cabral-Filho JE

    更新日期:2011-08-01 00:00:00

  • Clinical effect of emergency cervical cerclage and elective cervical cerclage on pregnancy outcome in the cervical-incompetent pregnant women.

    abstract:PURPOSE:To compare the clinical effect of emergency cervical cerclage and elective cervical cerclage on pregnancy outcome in the cervical-incompetent pregnant women. METHODS:Literature was searched from the databases of Pubmed, Embase and Google scholar. The fixed or random effects model was used to calculate pooled r...

    journal_title:Archives of gynecology and obstetrics

    pub_type: 杂志文章,meta分析

    doi:10.1007/s00404-017-4602-7

    authors: Chen Q,Chen G,Li N

    更新日期:2018-02-01 00:00:00

  • Cannabinoid hyperemesis syndrome: an underreported entity causing nausea and vomiting of pregnancy.

    abstract:INTRODUCTION:In the western world, cannabis is the most widely used drug of abuse. Cannabinoid hyperemesis syndrome, which seems to be a rare paradoxical reaction in individuals with a particular predisposition, is characterized by cyclic severe nausea and vomiting in long-term cannabis users. While the symptoms are un...

    journal_title:Archives of gynecology and obstetrics

    pub_type: 杂志文章

    doi:10.1007/s00404-010-1811-8

    authors: Schmid SM,Lapaire O,Huang DJ,Jürgens FE,Güth U

    更新日期:2011-11-01 00:00:00

  • Bilateral pheochromocytoma during the postpartum period.

    abstract:BACKGROUND:Pheochromocytoma manifesting during pregnancy is uncommon but it is responsible for a high maternal and fetal mortality rate, especially when unrecognized. Most cases of pheochromocytoma are sporadic but they can be part of hereditary autosomal dominant syndromes. CASE:We describe a case of bilateral pheoch...

    journal_title:Archives of gynecology and obstetrics

    pub_type: 杂志文章

    doi:10.1007/s00404-009-1057-5

    authors: Wattanachanya L,Bunworasate U,Plengpanich W,Houngngam N,Buranasupkajorn P,Sunthornyothin S,Shotelersuk V,Snabboon T

    更新日期:2009-12-01 00:00:00

  • A rare cause of severe dyspareunia: a case report and literature review.

    abstract::Gastrointestinal stromal tumors (GISTs) of the rectum are rare, and their clinical manifestations are variable. We report the case of a 23-year-old woman who was referred complaining of dyspareunia during coitus. We performed digital vaginal and rectal investigations, ultrasound, colonoscopy, and computed tomography. ...

    journal_title:Archives of gynecology and obstetrics

    pub_type: 杂志文章,评审

    doi:10.1007/s00404-009-1102-4

    authors: Akbulut S,Cakabay B,Sezgin A,Ozmen C

    更新日期:2010-01-01 00:00:00

  • Three- and four-dimensional HDlive rendering images of normal and abnormal fetuses: pictorial essay.

    abstract:BACKGROUND:Our objective is to present our experience of normal embryonic development and fetal anatomy and fetal anomalies reconstructed employing the three-dimensional (3D) and four-dimensional (4D) HDlive rendering mode. METHODS:A total of 18 normal embryos and fetuses and 21 abnormal fetuses (one case each of thor...

    journal_title:Archives of gynecology and obstetrics

    pub_type: 杂志文章

    doi:10.1007/s00404-012-2505-1

    authors: Hata T,Hanaoka U,Tenkumo C,Sato M,Tanaka H,Ishimura M

    更新日期:2012-12-01 00:00:00

  • A study of the effect of mifepristone (antiprogesterone) followed by prostaglandin on uterine activity and fetal heart rate in patients having a termination of pregnancy.

    abstract::In the 72 h after a single oral dose of 400 mg of the antiprogesterone mifepristone, 12 out of 14 first and one second trimester fetuses had a slight increase in heart rate; 2 fetuses died and one aborted. During the same 72 h, uterine activity increased moderately, and was physiological with no increase in resting pr...

    journal_title:Archives of gynecology and obstetrics

    pub_type: 杂志文章

    doi:10.1007/BF00931376

    authors: Pulkkinen MO,Piiroinen O,Vainikka J

    更新日期:1989-01-01 00:00:00

  • A comparative study of luteal estradiol pre-treatment in GnRH antagonist protocols and in micro dose flare protocols for poor-responding patients.

    abstract:PURPOSE:This study aims to verify if luteal estradiol pre-treatment improves IVF/ICSI outcomes in a GnRH antagonist protocol as compared with a micro dose GnRH agonist protocol in poor-responding patients. METHODS:A total of 116 IVF/ICSI cycles were included in this prospective randomized single blind clinical trial. ...

    journal_title:Archives of gynecology and obstetrics

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s00404-012-2522-0

    authors: Davar R,Rahsepar M,Rahmani E

    更新日期:2013-01-01 00:00:00

  • Metformin reduces total microparticles and microparticles-expressing tissue factor in women with polycystic ovary syndrome.

    abstract:PURPOSE:The objective of this study was to evaluate the levels of total microparticles (MPs) and microparticles-expressing tissue factor (TFMPs) in women with polycystic ovarian syndrome (PCOS) who use metformin comparing to those who do not take metformin. METHODS:We quantified total MPs and TFMPs in the plasma of 50...

    journal_title:Archives of gynecology and obstetrics

    pub_type: 杂志文章

    doi:10.1007/s00404-017-4471-0

    authors: Carvalho LML,Ferreira CN,Candido AL,Reis FM,Sóter MO,Sales MF,Silva IFO,Nunes FFC,Gomes KB

    更新日期:2017-10-01 00:00:00

  • Retrospective study of outcome on vaginal and abdominal delivery in twin pregnancy in which twin 1 is presenting by the breech.

    abstract::We retrospectively reviewed the perinatal outcome of twin pregnancies cohere the first baby was presenting by the breech. 21 were delivered vaginally and 37 abdominally. Differences in perinatal outcome, as measured by Apgar score and mortality, were not apparently different. ...

    journal_title:Archives of gynecology and obstetrics

    pub_type: 杂志文章

    doi:10.1007/s004040050201

    authors: Abu-Heija AT,Ziadeh S,Abukteish F,Obeidat A

    更新日期:1998-01-01 00:00:00

  • Characterizing the need for re-laparotomy during puerperium after cesarean section.

    abstract:OBJECTIVE:As inconsistency exists concerning the rate and risk factors for re-laparotomy after cesarean section (CS), we aimed to determine the incidence, risk factors and indications for re-laparotomy after CS. METHODS:This is a retrospective study. Women underwent re-laparotomy following CS were compared to a contro...

    journal_title:Archives of gynecology and obstetrics

    pub_type: 杂志文章

    doi:10.1007/s00404-014-3156-1

    authors: Ashwal E,Yogev Y,Melamed N,Khadega R,Ben-Haroush A,Wiznitzer A,Peled Y

    更新日期:2014-07-01 00:00:00

  • Role of hysteroscopy and endometrial biopsy in women with unexplained infertility.

    abstract:OBJECTIVES:This study was designed to evaluate the role of hysteroscopy and endometrial biopsy in women with unexplained infertility. PATIENTS AND METHODS:Women with unexplained infertility were included in this prospective study, evaluated with transvaginal sonography and diagnostic hysteroscopy. Diagnostic hysterosc...

    journal_title:Archives of gynecology and obstetrics

    pub_type: 杂志文章

    doi:10.1007/s00404-013-2931-8

    authors: Makled AK,Farghali MM,Shenouda DS

    更新日期:2014-01-01 00:00:00

  • Prospective comparison of indwelling cannulas drain and needle aspiration for symptomatic seroma after mastectomy in breast cancer patients.

    abstract:AIMS:Postoperative seroma is the most frequent sequelae after mastectomy and axillary surgery with no optimal regimens for seroma resolution recommended in routine clinical. Indwelling cannulas with needle and catheter have been widely used in long-term medication therapies, but evidence of indwelling cannulas in serom...

    journal_title:Archives of gynecology and obstetrics

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s00404-019-05396-2

    authors: Wu X,Luo Y,Zeng Y,Peng W,Zhong Z

    更新日期:2020-01-01 00:00:00

  • Dihydroergotamine causes fetal growth retardation in guinea pigs.

    abstract::Dihydroergotamine is a vasoactive drug which enhances venous tone, central blood volume and cardiac output but has variable effects on arterial tone. Its effect on the uterine arterial circulation is unstudied and yet dihydroergotamine is widely used to treat postural hypotension in pregnant and nonpregnant women. For...

    journal_title:Archives of gynecology and obstetrics

    pub_type: 杂志文章

    doi:10.1007/BF02718385

    authors: Hohmann M,Künzel W

    更新日期:1992-01-01 00:00:00

  • Secondary malignant fibrous histiocytoma of thigh with surface ulceration following radiotherapy for carcinoma cervix.

    abstract:INTRODUCTION:Radiotherapy is known to cause rarely various malignancies including leukemia, sarcoma, and thyroid and lung carcinoma. Post-radiation sarcomas account for 0.5-5.5% of all sarcomas; and include extra skeletal osteosarcoma, fibrosarcoma leiomyosarcoma, and malignant fibrous histiocytoma. Reports on post rad...

    journal_title:Archives of gynecology and obstetrics

    pub_type: 杂志文章

    doi:10.1007/s00404-010-1699-3

    authors: Arora P,Wadhwa R,Khurana N,Jain S,Hadke NS

    更新日期:2011-03-01 00:00:00

  • A sex cord stromal tumour in a woman with XO/XX/XXX-mosaicism.

    abstract::We describe a postmenopausal woman with 45,XO/46,XX/47,XXX mosaicism who presented with a Sertoli-Leydig cell tumour and a past history of habitual abortion. The cytogenetic finding is discussed in relation to the etiology of the tumour and of the recurrent abortions. ...

    journal_title:Archives of gynecology and obstetrics

    pub_type: 杂志文章

    doi:10.1007/BF00932978

    authors: Glaser D,Nienhaus H,Köhler R,Walther G,Pawlowitzki IH

    更新日期:1988-01-01 00:00:00

  • The high-grade endometrial sarcoma: a rare entity.

    abstract:INTRODUCTION:With an estimated incidence of one to two per one million women, the endometrial stromal sarcoma (ESS) is a rare disease. It is subclassified into a high-grade and a prognostically better low-grade type. Evidence-based data for a standardized therapy is lacking. CASE REPORT:A 32-year-old obese nulligravid...

    journal_title:Archives of gynecology and obstetrics

    pub_type: 杂志文章

    doi:10.1007/s00404-005-0100-4

    authors: Lenhard SM,Untch M,Himsl I,Ditsch N,Bittmann I,Friese K,Bauerfeind I

    更新日期:2006-04-01 00:00:00

  • Effect of myocardial infarction on female sexual function in women.

    abstract:PURPOSE:The aim of this study was to assess sexual function in female patients with myocardial infarction (MI). METHODS:As research instruments, an interview form of 20 questions that questioned personal characteristics was developed by researchers, Female Sexual Function Index (FSFI) that evaluated sexual dysfunction...

    journal_title:Archives of gynecology and obstetrics

    pub_type: 杂志文章

    doi:10.1007/s00404-014-3537-5

    authors: Oskay U,Can G,Camcı G

    更新日期:2015-05-01 00:00:00

  • Pain relief during hysterosalpingography: role of intracervical block.

    abstract:PURPOSE:Hysterosalpingography (HSG) is an important tool for evaluation of tubal factors in infertility. It does not require anesthesia but can be a painful procedure. Thus, this study was undertaken to establish the role of intracervical block as pain relief modality for HSG. METHODS:This prospective, randomized stud...

    journal_title:Archives of gynecology and obstetrics

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s00404-012-2515-z

    authors: Chauhan MB,Lakra P,Jyotsna D,Nanda S,Malhotra V

    更新日期:2013-01-01 00:00:00

  • Ovarian and vesical actinomycosis: a case report and literature review.

    abstract::We present a patient with a tubo-ovarian abscess pathologically confirmed to be actinomycosis in a 44-year-old woman with an intrauterine device (IUD). An ultrasound showed that the IUD was imposed on an apparently degenerated myoma. A pelvic MRI was performed to differentiate the uterine findings from a sarcoma. The ...

    journal_title:Archives of gynecology and obstetrics

    pub_type: 杂志文章

    doi:10.1007/s00404-008-0770-9

    authors: Hwang JH,Hong JH,Lee JK

    更新日期:2009-04-01 00:00:00

  • Long interpregnancy interval and mode of delivery.

    abstract:PURPOSE:WHO sets 24 months as the ideal minimum interpregnancy interval (IPI) to minimize maternal and perinatal adverse outcomes. Some studies suggest that an interval longer than 59 months may affect these outcomes, but little is known about its influence on labor. The primary objective of this study was to compare t...

    journal_title:Archives of gynecology and obstetrics

    pub_type: 杂志文章

    doi:10.1007/s00404-019-05347-x

    authors: Ishaque U,Korb D,Poincare A,Schmitz T,Morin C,Sibony O

    更新日期:2019-12-01 00:00:00

  • A CA125 score as a prognostic index in patients with ovarian cancer.

    abstract::Due to its high specificity (90%) and sensitivity (86%) measurement of CA125 has become well-established in patients with epithelial ovarian cancer. We have formulated a CA125 prognostic score and examined its validity as an additional prognosis index. This score is composed of two CA125 values (one determined preoper...

    journal_title:Archives of gynecology and obstetrics

    pub_type: 杂志文章

    doi:10.1007/BF02390860

    authors: Rosen A,Sevelda P,Klein M,Spona J,Beck A

    更新日期:1990-01-01 00:00:00

  • Endometriosis presenting as bloody pleural effusion and ascites-report of a case and review of the literature.

    abstract::A 34 year-old female presented with blood-stained pleural effusion and ascites. Investigation revealed a pelvic mass. She underwent exploratory laparotomy, and was found to have endometriosis. Total abdominal hysterectomy and right salpingo-oophorectomy was performed. ...

    journal_title:Archives of gynecology and obstetrics

    pub_type: 杂志文章,评审

    doi:10.1007/pl00007484

    authors: Bhojawala J,Heller DS,Cracchiolo B,Sama J

    更新日期:2000-07-01 00:00:00

  • Magnesium sulphate can alleviate oxidative stress and reduce inflammatory cytokines in rat placenta of intrahepatic cholestasis of pregnancy model.

    abstract:PURPOSE:In our study, we try to investigate whether magnesium sulphate (MgSO4) could provide protection against oxidative damage and inflammatory response in rat placenta of intrahepatic cholestasis of pregnancy (ICP) model. METHODS:The rat model of ICP was established by injecting s.c. 17α-ethinyl estradiol (EE) dail...

    journal_title:Archives of gynecology and obstetrics

    pub_type: 杂志文章

    doi:10.1007/s00404-018-4850-1

    authors: Han F,Xu L,Huang Y,Chen T,Zhou T,Yang L

    更新日期:2018-09-01 00:00:00

  • The individualized significance of lymphadenectomy across all age groups and histologies in malignant ovarian germ cell tumors.

    abstract:PURPOSE:To evaluate the therapeutic role of lymphadenectomy on patients with malignant ovarian germ cell tumor (MOGCT) and to investigate the risk factors of lymph node metastasis. METHODS:Patients of MOGCT between 1988 and 2013 with definite lymph node information were extracted from the Surveillance, Epidemiology, a...

    journal_title:Archives of gynecology and obstetrics

    pub_type: 杂志文章

    doi:10.1007/s00404-020-05772-3

    authors: Wang J,Chen R,Li J,Lu X

    更新日期:2020-12-01 00:00:00

  • Neonatal outcome in preterm deliveries between 23 and 27 weeks' gestation with and without preterm premature rupture of membranes.

    abstract:OBJECTIVES:To characterize neonatal morbidity and mortality rates in extreme preterm deliveries (between 23 and 27 weeks' gestation) with and without PPROM, and to evaluate the association between PPROM and chorioamnionitis. METHODS:A retrospective population-based study was conducted on preterm singleton pregnancies ...

    journal_title:Archives of gynecology and obstetrics

    pub_type: 杂志文章

    doi:10.1007/s00404-008-0836-8

    authors: Newman DE,Paamoni-Keren O,Press F,Wiznitzer A,Mazor M,Sheiner E

    更新日期:2009-07-01 00:00:00