Pelvic fluid collections by sonography and febrile morbidity after abdominal hysterectomy
In: Obstetrics and gynecology (New York. 1953), Jg. 90 (1997), Heft 1, S. 58-62
Online
academicJournal
- print, 11 ref
Zugriff:
Objective: To assess the range of normal findings at endovaginal sonography after abdominal hysterectomy and to assess the relation between these findings and febrile morbidity. Methods: Fifty-eight women had endovaginal ultrasound at a median of 4 days after abdominal hysterectomy. The volume of fluid in the cul-de-sac and its sonographic characteristics were assessed. Ultrasound findings, which were not released to the patients' physicians, were correlated with febrile morbidity and clinical outcomes. Results: The median pelvic fluid volume was 3.4 mL (interquartile range 0-16.8 mL). No pelvic fluid was detected in 22 of 58 women (37.9%). In the other 36 women, fluid volumes ranged between 0.2 and 76.3 mL. Febrile morbidity was present in 15 of 58 women (26%) overall: eight of 36 (25%) with and seven of 22 (32%) without pelvic fluid. There was no association between the presence of pelvic fluid collections and febrile morbidity (P = .54) or prolonged fever (P = 1.00). There was no difference in the median or mean fluid volumes between women with and without febrile morbidity. The study had a power of 90% with α = .05 to detect a difference of 20 mL. Even women with fixed, markedly echoic fluid collections larger than 35 mL did not have significantly more febrile morbidity than women with no pelvic fluid (P =.33). Conclusion: The volume of pelvic fluid 3-5 days after hysterectomy does not predict febrile morbidity or the need for drainage. Large or complex fluid collections may be present without adverse clinical consequences, and discovering such a collection in a patient with febrile morbidity after hysterectomy does not necessitate antibiotic therapy or surgical drainage of the fluid collection.
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Pelvic fluid collections by sonography and febrile morbidity after abdominal hysterectomy
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Autor/in / Beteiligte Person: | EASON, E ; ALDIS, A ; SEYMOUR, R. J |
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Zeitschrift: | Obstetrics and gynecology (New York. 1953), Jg. 90 (1997), Heft 1, S. 58-62 |
Veröffentlichung: | New York, NY: Elsevier Science, 1997 |
Medientyp: | academicJournal |
Umfang: | print, 11 ref |
ISSN: | 0029-7844 (print) |
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