Summary
Background
Hormonal changes that take place during the menstrual cycle may have an effect on
perioperative bleeding. Previous studies have confirmed a relationship between the
menstrual cycle and surgical bleeding in rhinoplasty and breast reduction surgery;
yet both surgical sites display changes in accordance with sex hormone levels during
the menstrual phase.
Aim
The aim of this study was to determine the effect of the menstrual cycle on perioperative
bleeding when undergoing surgeries of sites not directly related to menstrual hormonal
changes.
Materials and methods
Forty-one patients undergoing abdominoplasty were grouped as group A – perimenstrual
(0–7, 21–28 days), group B – periovulatory (8–20 days) and group C – postmenopausal.
Intra-operative blood loss was calculated during surgery while postoperative blood
loss was determined by measuring the amount of drainage. All menstrual data were recorded.
Age, body mass index and weight of the resected tissue were also considered as factors
that can affect the amount of bleeding and therefore were also evaluated in terms
of significance.
Results
There was no significant difference between groups regarding intra-operative and postoperative
blood loss. Body mass index and weight of the resected tissue had a strong influence
on the time of drain removal and the amount of intra-operative and postoperative blood
loss.
Conclusion
This study strongly suggests that the menstrual period does not affect perioperative
blood loss for operations on areas less sensitive to sex hormone levels such as the
abdomen. In light of the results, we can conclude that the patient's menstrual date
is not of vital importance regarding perioperative blood loss when planning surgery
for areas with less sensitivity to menstrual hormonal changes.
Keywords
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Article info
Publication history
Published online: October 08, 2012
Accepted:
September 10,
2012
Received:
August 30,
2011
Footnotes
☆This paper was accepted as an oral presentation for (ESPRAS EUROPEAN appointed) the 33rd National Congress of the Turkish Society of Plastic Reconstructive and Aesthetic Surgery (14–18 September, 2011, Izmir/Turkey).
Identification
Copyright
© 2012 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.
