Does lymphadenectomy have influence on postoperative body fluid distribution?

Eur J Obstet Gynecol Reprod Biol

Selçuk University, Faculty of Medicine, Department of Obstetrics and Gynecology, Gynecologic Oncology Unit, 42075, Konya, Turkey. Electronic address:

Published: May 2017

AI Article Synopsis

  • The study examined fluid volume changes in women undergoing gynecological surgery for both benign and malignant conditions, using bioelectrical impedance analysis (BIA) to measure body water parameters.
  • A total of 181 patients participated, with 89 undergoing benign surgeries and 92 undergoing oncological procedures, and measurements were taken before surgery, 24 hours post-surgery, and one month later.
  • Results showed a significant increase in total body water after one month in both groups, with the malignant group exhibiting higher extracellular water and lower intracellular water compared to the benign group, indicating that more invasive surgeries affect body water distribution more significantly.

Article Abstract

Objective: We compared the fluid volume parameters in women undergoing gynaecological surgery for benign and malignant conditions before and after surgery using bioelectrical impedance vectors.

Study Design: A total of 181 patients were enrolled. In all, 89 patients had surgery for benign conditions and 92 patients underwent oncological procedures, including lymph node dissection, for malignant diseases. Bioelectrical impedance analysis (BIA) parameters were measured on the day of hospitalisation before any treatment and at 24h and 1 month after the surgical intervention. The BIA parameters measured included extracellular water (ECW), intracellular water (ICW), and total body water (TBW).

Results: TBW increased significantly 1 month after surgery in all cases (p<0,05 in both group). ECW was significantly higher (p<0.05) and ICW was significantly lower (p<0,05) in the malignant group than the benign group.

Conclusion: Radical gynaecological surgeries, including lymph node dissection, have a greater effect on body water distribution than surgeries performed for benign conditions.

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Source
http://dx.doi.org/10.1016/j.ejogrb.2017.02.011DOI Listing

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