C‐reactive protein "at first sight": Standard postoperative trend in gynecological surgery and a comparative analysis with white blood cell levels. Issue 1 (21st July 2022)

• Record Type: Journal Article
• Authors: De Cicco Nardone, Carlo; De Luca, Cristiana; Plotti, Francesco; Fabris, Silvia; Rossini, Gianmarco; Montera, Roberto; Luvero, Daniela; Angioli, Roberto; Terranova, Corrado
• Is Part Of: International journal of gynaecology and obstetrics. Volume 160:Issue 1(2023)
• Page Start: 237
• Page End: 243
• Publication Date: 2022-07-21
• Subjects: C‐reactive protein -- gynecological benign surgery -- postoperative complications -- white blood cells; Gynecology -- Periodicals; Obstetrics -- Periodicals; Electronic journals; 618
• DOI: 10.1002/ijgo.14314
• Languages: English
• ISSNs: 0020-7292

Abstract

Abstract: Objective: There is a lack of information about the normal trend of C‐reactive protein (CRP) blood levels in the postoperative days after gynecological benign surgery. We investigated the impact of different surgical techniques on CRP trend. We performed a comparative analysis between a CRP and white blood cell (WBC) trend in postoperative monitoring. Methods: We studied 207 surgical patients for benign gynecological pathology. We analyzed CRP and WBC levels after surgery in the total number of women and separately by approaches. Results: CRP mean log scores showed a typical behavior. Moreover, results from chi‐square test underline that the proportion of women with this result is independent from the type of surgery they underwent. Log score mean values of CPR differed between all groups and between times. No difference in the mean number of white cells between the second and the third day was found, as observed for CRP. Conclusions: Our study shows a trend reference model in postoperative monitoring of patients with benign gynecological surgery. The comparative analysis between the CRP and WBC trend in the postoperative days provided us data demonstrating the superiority of CRP in postsurgical patient outcomes monitoring. Synopsis: Comparative analysis between the trend of C‐reactive protein blood levels in the postoperative days without complications and white blood cells levels in laparotomic, laparoscopic, and vaginal gynecological surgery.