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Noninvasive Determination of Vortex Formation Time Using Transesophageal Echocardiography During Cardiac Surgery
Published on: November 28, 2018
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Is menstruation a valid reason to postpone cardiac surgery?
Devishree Das1, Suruchi Hasija1, Sandeep Chauhan1
1Department of Cardiac Anaesthesia and Critical Care, Cardiothoracic Centre, AIIMS, New Delhi, India.
Annals of Cardiac Anaesthesia
|July 8, 2022
Summary
Women undergoing open heart surgery (OHS) during menstruation experience no increased surgical or menstrual blood loss. This study found comparable blood loss between menstruating and non-menstruating patients, debunking common concerns.
Area of Science:
- Cardiovascular Surgery
- Gynecology
- Anesthesiology
Background:
- Surgical cancellations due to patient stress and resource drain are common.
- Menstruating women often postpone open heart surgery (OHS) due to concerns about increased blood loss.
Purpose of the Study:
- To investigate and quantify surgical blood loss in women undergoing OHS during their menstrual period.
- To assess the impact of OHS on menstrual blood loss.
Main Methods:
- A prospective, matched case-control study included sixty women undergoing OHS.
- Surgical blood loss was compared between menstruating (group-M) and non-menstruating (group-NM) women.
- Menstrual blood loss was analyzed preoperatively and perioperatively in menstruating women.
Main Results:
- Surgical blood loss was comparable between group-M (245.6 ± 120.1 ml) and group-NM (243.6 ± 129.9 ml), P=0.83.
- Total menstrual blood loss (36.8 ± 4.8 ml vs 37.7 ± 5.0 ml, P=0.08) and duration (4.2 ± 0.6 days vs 4.4 ± 0.6 days, P=0.10) were similar preoperatively and perioperatively.
Conclusions:
- Ongoing menstruation does not increase surgical blood loss during OHS.
- OHS does not significantly affect menstrual blood loss or duration.
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