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C-reactive protein should accelerate the diagnosis of bowel injury after gynecologic surgery
C Rongières1, V Gomel, O Garbin
1Department of Obstetrics and Gynecology, Hospital Antoine Beclere, Clamart, France.
Study Objective:
To search for a marker that could aid in earlier diagnosis of bowel injury after gynecologic surgery.
Design:
Retrospective case study with prospective controls (Canadian Task Force classification II-2).
Setting:
University hospital.
Patients:
Fourteen women with bowel injuries and 50 controls with no postoperative complications.
Measurements And Main Results:
Bowel injury occurred in 14 (2.4/1000) of 5901 gynecologic procedures. Of these, eight were recognized intraoperatively and treated immediately. In six women C-reactive protein levels were markedly increased (>100 mg/L) relative to control patients (p <0.0001).
Conclusion:
Systematic postoperative assessment of C-reactive protein in patients at high risk for bowel injury may help identify this complication earlier in the postoperative period.
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