The levels of crp in non-complicated patients with total laparoscopic hysterectomy and its role in predicting vaginal cuff hematoma

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Kadirogullari P., Kiyak H., Simsek E., KARABÜK E., Seckin K. D.

Eastern Journal of Medicine, cilt.26, sa.2, ss.228-235, 2021 (Scopus, TRDizin)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 26 Sayı: 2
  • Basım Tarihi: 2021
  • Doi Numarası: 10.5505/ejm.2021.26779
  • Dergi Adı: Eastern Journal of Medicine
  • Derginin Tarandığı İndeksler: Scopus, Academic Search Premier, CAB Abstracts, CINAHL, EMBASE, Veterinary Science Database, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.228-235
  • Anahtar Kelimeler: C-Reactive Protein, Laparoscopic Hysterectomy, Vaginal Cuff Hematoma, White Blood Cell
  • Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
  • Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

We aimed to evaluate the mean C-reactive protein (CRP) levels in the patients who did not have any complications other than cuff hematoma after total laparoscopic hysterectomy (TLH) in order to determine the CRP levels to predict the potential to develop postoperative cuff hematoma. The study was designed prospectively. The CRP levels, white blood cell (WBC) count, and haemoglobin values (Hb) of 106 patients, who underwent TLH for benign reasons, were measured preoperatively and on the days 1,2 and 7 pos toperatively. The laboratory parameters of the patients who developed postoperative cuff hematoma were compared to those of the patients, who did not have any complications. Of a total of 106 patients who underwent a laparoscopic hysterectomy, there were no differences in the demographic characteristics between the groups. The duration of operation was significantly longer in the group of patients with cuff hematoma (p<0.05). In the hematoma group, the level of CRP was statistically significantly different on POD7 (p<0.05). We are of the opinion that CRP levels below the cut-off value of 12.5 mg/L measured on the postoperative 7th day indicate tissue damage secondary to surgical trauma, while care should be exercised to detect any possible complications in the patients with higher CRP levels above this value. We suggest that routine follow-up of the CRP levels may provide a cautious approach after a laparoscopic hysterectomy, allowing for early diagnosis and treatment for potentially developing complications including cuff hematoma and postoperative infections.