Menstruation- still a contraindication to elective surgery?

Kenig, Jakub; Richter, Piotr; Sikora, Łukasz

doi:10.2478/pjs-2014-0010

Cited by 4 publications

(2 citation statements)

References 18 publications

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“…There is a general belief, even among healthcare professionals, that menstruation is a relative contraindication for elective surgery. [ 9 ] This is attributed to compromised sanitation and hygiene, the functional impairment of the coagulation system,[ 10 ] accompanying postoperative nausea and vomiting (PONV)[ 11 ] and pain[ 12 ] which may interfere with the general picture, and therefore, hinder the recognition of postoperative complications.…”

Section: Introductionmentioning

confidence: 99%

Is Menstruation a Valid Reason to Postpone Cardiac Surgery?

Das

Hasija

Chauhan

et al. 2022

Annals of Cardiac Anaesthesia

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Background: Cancellation of any scheduled surgery is a significant drain on health resources and potentially stressful for patients. It is frequent in menstruating women who are scheduled to undergo open heart surgery (OHS), based on the widespread belief that it increases surgical and menstrual blood loss. Aims: The aim of this study was to evaluate blood loss in women undergoing OHS during menstruation. Settings and Design: A prospective, matched case-control study which included sixty women of reproductive age group undergoing OHS. Patients and Methods: The surgical blood loss was compared between women who were menstruating (group-M; n = 25) and their matched controls, i.e., women who were not menstruating (group-NM; n = 25) at the time of OHS. Of the women in group M, the menstrual blood loss during preoperative (subgroup-P) and perioperative period (subgroup-PO) was compared to determine the effect of OHS on menstrual blood loss. Results: The surgical blood loss was comparable among women in both groups irrespective of ongoing menstruation (gr-M = 245.6 ± 120.1 ml vs gr-NM = 243.6 ± 129.9 ml, P value = 0.83). The menstrual blood loss was comparable between preoperative and perioperative period in terms of total menstrual blood loss (gr-P = 36.8 ± 4.8 ml vs gr-PO = 37.7 ± 5.0 ml, P value = 0.08) and duration of menstruation (gr-P = 4.2 ± 0.6 days vs gr-PO = 4.4 ± 0.6 days, P value = 0.10). Conclusion: Neither the surgical blood loss nor the menstrual blood loss is increased in women undergoing OHS during menstruation.

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Section: Introductionmentioning

confidence: 99%

Is Menstruation a Valid Reason to Postpone Cardiac Surgery?

Das

Hasija

Chauhan

et al. 2022

Annals of Cardiac Anaesthesia

View full text Add to dashboard Cite

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“…This has been attributed to, among other things, functional impairment of the coagulation system during menstruation [1]. Recent studies have demonstrated that hormonal changes can induce perioperative bleeding, especially in the hormonally dependent organs of female patients.…”

Section: Introductionmentioning

confidence: 99%

The Impact of the Menstrual Cycle on Perioperative Bleeding in Vitreoretinal Surgery

Zhong

Moonasar

et al. 2017

Journal of Ophthalmology

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Purpose. To investigate the effect of menstrual cycle on perioperative bleeding of primary vitreoretinal surgery. Methods. Data on female patients who had vitrectomy surgery was retrospectively collected. Exclusion criteria were history of trauma, vitreous hemorrhage, previous vitreoretinal surgery, diabetic retinopathy, endophthalmitis, acute retinal necrosis, single vitreous opacity, and use of antiplatelet agents. Perioperative bleeding was defined as hemorrhage in the iris, vitreous, choroidal, retina, or subretina during surgery or up to one day postoperatively. 69 patients had surgery during the perimenstrual phase (group M, days 1–7 and days 21–28) and 86 during periovulatory phase (group O, days 8–20) were enrolled. Results. The proportion of operative bleeding in group M (14.5%) and group O (10.5%) was not found to be significantly different (p = 0.45). No postoperative bleeding was recorded in both groups. The univariate odds ratio (OR) and 95% confidence interval (CI) of perimenstrual phase for operative bleeding were 0.69 (0.26–1.81). After adjusting for patients' age, vitreoretinal diseases, and surgeons, the multivariate OR and 95% CI were 0.71 (0.27–1.86). Conclusion. This study suggests that the timing of the menstrual period does not affect perioperative bleeding for primary vitreoretinal surgery. Menstruation appears not to be a contraindication for vitreoretinal surgery.

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Does Menses Affect the Risk of Blood Loss in Adolescent Idiopathic Scoliosis Patients Undergoing Posterior Spinal Fusion Surgeries?

Chiu

Gani

Chung

et al. 2020

Spine

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Study Design. Retrospective propensity score matching study. Objective. To investigate whether menses affect intraoperative blood loss in female adolescent idiopathic scoliosis (AIS) patients undergoing posterior spinal fusion (PSF) surgeries. Summary of Background Data. There were concerns whether patients having menses will have higher intraoperative blood loss if surgery were to be done during this period. Methods. This study included 372 females who were operated between May 2016 to May 2019. Fifty-five patients had menses during surgery (Group 1, G1) and 317 patients did not have menses during surgery (Group 2, G2). Propensity score matching (PSM) analysis with one-to-one, nearest neighbor matching technique and with a match tolerance of 0.001 was used. The main outcome measures were intraoperative blood loss (IBL), volume of blood salvaged, transfusion rate, preoperative hemoglobin, preoperative platelet, preoperative prothrombin time, preoperative activated partial thromboplastin time (APTT), international normalized ratio (INR), and postoperative hemoglobin. Postoperative Cobb angle and correction rate were also documented. Results. At the end of PSM analysis, 46 patients from each group were matched and balanced. The average operation duration for G1 was 140.8 ± 43.0 minutes compared with 143.1 ± 48.3 minutes in G2 (P = 0.806). The intraoperative blood loss for G1 was 904.3 ± 496.3 mL and for G2 was 907.9 ± 482.8 mL (P = 0.972). There was no significant difference in terms of normalized blood loss (NBL), volume of blood salvaged during surgery, preoperative hemoglobin, postoperative hemoglobin, hemoglobin drift, estimated blood volume (EBV), IBL per EBV and IBL per level fused (P > 0.05). No postoperative complications were encountered in both groups. On average, the postoperative hospital stay was 3.5 ± 0.8 days for both groups (P = 0.143). Conclusion. Performing corrective surgery during the menstrual phase in female AIS patients is safe without risk of increased blood loss. Level of Evidence: 4

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Menstruation- still a contraindication to elective surgery?

Cited by 4 publications

References 18 publications

Is Menstruation a Valid Reason to Postpone Cardiac Surgery?

Is Menstruation a Valid Reason to Postpone Cardiac Surgery?

The Impact of the Menstrual Cycle on Perioperative Bleeding in Vitreoretinal Surgery

Does Menses Affect the Risk of Blood Loss in Adolescent Idiopathic Scoliosis Patients Undergoing Posterior Spinal Fusion Surgeries?

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