Nausea and vomiting after gynaecological laparoscopy depends upon the phase of the menstrual cycle

Postoperative nausea and vomiting were compared in 68 women with regular menstrual periods undergoing gynaecological laparoscopy. The patients were divided into four group on the basis of the phase of the menstrual cycle as follows: premenstrum-menstrum (pre + menstrum) (Pd 25-6), early follicular p...

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Published inCanadian journal of anesthesia Vol. 38; no. 7; pp. 876 - 879
Main Authors HONKAVAARA, P, LEHTINEN, A.-M, HOVORKA, J, KORTTILA, K
Format Journal Article
LanguageEnglish
Published Toronto, ON Canadian Anesthesiologists' Society 01.10.1991
Subjects
Adult
Anesthesia, General
Biological and medical sciences
Endoscopy
Female
Genital system
Humans
Investigative techniques, diagnostic techniques (general aspects)
Laparoscopy
Medical sciences
Menstrual Cycle - physiology
Nausea - chemically induced
Nausea - physiopathology
Postoperative Complications - chemically induced
Postoperative Complications - physiopathology
Vomiting - chemically induced
Vomiting - physiopathology
Menstrual cycle
Vomiting
Anesthesia
Laparoscopy
Nausea
Endoscopy
Female genital diseases
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Summary:Postoperative nausea and vomiting were compared in 68 women with regular menstrual periods undergoing gynaecological laparoscopy. The patients were divided into four group on the basis of the phase of the menstrual cycle as follows: premenstrum-menstrum (pre + menstrum) (Pd 25-6), early follicular phase (Pd 8-12), ovulatory phase (Pd 13-15) and luteal phase (Pd 20-24). The overall incidence of nausea and vomiting was 46%. Statistically significant differences in the incidence of nausea and retching were found among the groups by regression analysis. The incidence of nausea and vomiting was highest in women undergoing laparoscopy during the luteal phase (77%), which was greater than during the follicular phase (32%) or during pre + menstruation (18%). The need for antimetic was highest in women undergoing laparoscopy during the luteal phase (69%) and this was different from the follicular (18%, P less than 0.01) and pre + menstrum (19%, P less than 0.01) phases. It is concluded that the highest incidence of postoperative nausea and vomiting after gynaecological laparoscopy occurs during the luteal phase.
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ISSN:0832-610X
1496-8975
DOI:10.1007/BF03036963