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

Zhong, Lin; Moonasar, Nived; Wu, Ronghan; Seemongal-Dass, R R

doi:10.1155/2017/9549284

Cited by 7 publications

(7 citation statements)

References 6 publications

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“…A study by Lin et al . 22 found that menstruation had no significant effect on operative bleeding in vitreoretinal surgery. It was found by Das et al .…”

Section: Discussionmentioning

confidence: 93%

Does Progesterone Affect Perioperative Blood Loss during Posterior Spinal Fusion Surgeries in Female Patients with Adolescent Idiopathic Scoliosis? A Retrospective Study

Jiao

Tan

Wang

et al. 2023

Orthopaedic Surgery

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Objective Menstruation is considered a contraindication for elective surgery for higher operative blood loss. Progesterone is often used to postpone menstruation to avoid surgery during menstruation. This study aimed to explore whether using progesterone to postpone menstruation affects perioperative blood loss and complications in female patients with adolescent idiopathic scoliosis (AIS) who underwent posterior spinal fusion (PSF) surgery. Methods A retrospective study was performed for female patients diagnosed with AIS who underwent PSF surgery between March 2013 and January 2021. Patients scheduled to undergo PSF surgery from 2 days before menstruation to 3 days after menstruation were treated with progesterone preoperatively. The patients were divided into two groups according to progesterone use (progesterone injection group; control group). Demographic and surgical data including intraoperative blood loss (IBL), normalized blood loss (NBL), total blood loss (TBL), transfusion rate, perioperative complications, postoperative drainage time, postoperative hospital stay, and preoperative coagulation function data were collected. Results A total of 206 patients were included in the study. Among them, the progesterone injection group included 41 patients, with an average age of 14.8 years. While the control group included 165 patients, with an average age of 14.9 years. The two groups were matched for age, height, weight, operation time, Risser sign, correction rate, mean curve Cobb angle, bending Cobb angle, number of internal fixations, and number of fused levels (all P > 0.05). Regarding coagulation function, no significant differences were found in thrombin time, activated partial thromboplastin time, fibrinogen, prothrombin time, and platelet count between the two groups (all P > 0.05). IBL, NBL, and TBL were higher in progesterone injection group; however, the difference was nonsignificant (all P > 0.05). Transfusion rate, perioperative complications, postoperative drainage time, and postoperative hospital stay were not statistically different between groups (all P > 0.05). Conclusion Intramuscular injection of progesterone to avoid menstruation during PSF surgery did not affect perioperative blood loss and complications in AIS patients. It may be a safe method for AIS patients to avoid menstrual problems affecting the operation time and receive PSF surgery as scheduled.

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“…A study by Lin et al . 22 found that menstruation had no significant effect on operative bleeding in vitreoretinal surgery. It was found by Das et al .…”

Section: Discussionmentioning

confidence: 93%

Does Progesterone Affect Perioperative Blood Loss during Posterior Spinal Fusion Surgeries in Female Patients with Adolescent Idiopathic Scoliosis? A Retrospective Study

Jiao

Tan

Wang

et al. 2023

Orthopaedic Surgery

View full text Add to dashboard Cite

show abstract

“…However, some studies have shown contradictory results. A study by Lin et al (21) found that menstruation had no signi cant effect on operative bleeding in vitreoretinal surgery. It was found by Das et al that women undergoing open heart surgery during menstruation did not experience an increase in both surgical and menstrual blood loss (22).…”

Section: Discussionmentioning

confidence: 98%

Does Progesterone Affect Perioperative Blood Loss during Posterior Spinal Fusion Surgeries in Female Patients with Adolescent Idiopathic Scoliosis?: a retrospective study

Jiao

Tan

Wang

et al. 2022

Preprint

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Background: Menstruation is considered a contraindication for elective surgery for higher operative blood loss. Progesterone is often used to postpone menstruation to avoid surgery during menstruation. This study aimed to explore whether using progesterone to postpone menstruation affects perioperative blood loss in female patients with adolescent idiopathic scoliosis (AIS) who underwent posterior spinal fusion (PSF) surgery. Methods: A retrospective study was performed for female patients diagnosed with AIS who underwent PSF surgery between March 2013 and January 2021. Patients with irregular menstruation or before menarche,who used tranexamic acid, who underwent Schwab grade III–VI osteotomywere excluded. Patients scheduled to undergo PSF surgery from 2 days before menstruation to 3 days after menstruation were treated with progesterone preoperatively. The patients were divided into two groups according to progesterone use (group A, progesterone injection group; group B, control group). Demographic and surgical data including intraoperative blood loss (IBL), normalized blood loss (NBL), total blood loss (TBL), transfusion rate, perioperative complications, postoperative hospital stay,and preoperative coagulation function data. Results:Group A included 41 patients, while group B included 165. The two groups were matched for age, height, weight, operation time, Risser sign, correction rate, mean curve Cobb angle, bending Cobb angle, and number of internal fixations, number of fused levels (all P >0.05). Regarding coagulation function, no significant difference was found between thrombin time, activated partial thromboplastin time, fibrinogen, prothrombin time and platelet count. IBL, NBL and TBL were higher in group A; however, the difference was nonsignificant. Transfusion rate, perioperative complications, and postoperative hospital stay were not statistically different between groups. Conclusion: Intramuscular injection of progesterone to postpone menstruation did not affect perioperative blood loss in female AIS patients who underwent PSF surgery. Furthermore, it did not increase the incidence of perioperative complications or prolong postoperative hospital stay. Therefore, it may be a safe method for AIS patients to undergo PSF surgery as scheduled.

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“…Zhong Lin et al [ 24 ] examined blood loss in patients undergoing vitreoretinal surgery during the perimenstrual phase (n = 69) and periovulatory phase (n = 86). They inferred that the phases of menstrual period do not in any way affect perioperative bleeding therefore, menstruation should not be a contraindication for vitreoretinal surgery.…”

Section: Discussionmentioning

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

Cited by 7 publications

References 6 publications

Does Progesterone Affect Perioperative Blood Loss during Posterior Spinal Fusion Surgeries in Female Patients with Adolescent Idiopathic Scoliosis? A Retrospective Study

Does Progesterone Affect Perioperative Blood Loss during Posterior Spinal Fusion Surgeries in Female Patients with Adolescent Idiopathic Scoliosis? A Retrospective Study

Does Progesterone Affect Perioperative Blood Loss during Posterior Spinal Fusion Surgeries in Female Patients with Adolescent Idiopathic Scoliosis?: a retrospective study

Is Menstruation a Valid Reason to Postpone Cardiac Surgery?

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