Abstract
Postoperative nausea and vomiting were compared in 68 women with regular menstrual periods undergoing gynaecological laparoscopy. The patients were divided into four groups 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 (Pd13–15) and luteal phase (Pd20–24). 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 antiemetic was highest in women undergoing laparoscopy during the luteal phase (69%) and this was different from the follicular (18%, P <0,01) and pre+menstrum (19%, P<0,01) phases. It is concluded that the highest incidence of postoperative nausea and vomiting after gynaecological laparoscopy occurs during the luteal phase.
Résumé
Les nausées et les vomissements postopératoires ont été comparés chez 68 femmes ayant des menstruations régulières et subissant une laparoscopie gynécologique. Les patientes furent divisées en quatre groupes en se basant sur la phase de leur cycle menstruel comme suit: prémenstruation-menstruation (pré+menstruations) (Pd25–6), la phase folliculaire précoce (Pd8–12), la phase ovulatoire (Pd13–15) et la phase lutéale (Pd 20–24). L’incidence globale de nausées et de vomissements était de 46%. Une différence statistiquement significative fut trouvée entre les groupes par analyse de régression. L’incidence de nausées et de vomissements était plus grande chez les femmes subissant la laparoscopie durant la phase lutéale (77%) et cette incidence fut plus grande que lors de la phase folliculaire (32%) ou durant la phase de pré+menstruation (18%). Le besoin d’antiémétique était plus grand chez les femmes subissant la laparoscopie durant la phase lutéale (69%) et ceci était différent du groupe en phase folliculaire (18%, P< 0,01) et du groupe pré-menstruel (19%, P<0,01). On conclut que la plus haute incidence de nausées et de vomissements après laparoscopie est survenue lors de la phase lutéale.
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Honkavaara, P., Lehtinen, AM., Hovorka, J. et al. Nausea and vomiting after gynaecological laparoscopy depends upon the phase of the menstrual cycle. Can J Anaesth 38, 876–879 (1991). https://doi.org/10.1007/BF03036963
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DOI: https://doi.org/10.1007/BF03036963