How Menstrual Cycle Phases Affect Optic Nerve Sheath Diameter and Postoperative Outcomes in Women Undergoing Laparoscopic Gynecologic Surgery

What this Trial Is About

This observational study focuses on women undergoing elective laparoscopic gynecologic surgery to evaluate how different phases of the menstrual cycle affect the optic nerve sheath diameter ONSD. The research aims to understand if hormonal changes during the follicular or luteal phases influence intracranial pressure as reflected by ONSD measurements, and how these variations relate to postoperative nausea, vomiting, and cognitive function. Participants will be grouped based on their menstrual cycle phase follicular phase around days 12-14 or luteal phase around days 20-25. During surgery, ONSD will be measured before anesthesia, during the operation, and at the end. Postoperative assessments will include monitoring nausea, vomiting, and cognitive function within 24 hours after surgery. Women in the study will undergo perioperative ONSD measurements and evaluations of postoperative symptoms and cognitive status. Researchers will measure ONSD at specific surgical time points and assess nausea, vomiting, and cognitive function before and after surgery. The full participation period includes the surgical procedure and a 24-hour postoperative follow-up to monitor these outcomes.

Effects of Menstrual Cycle on Optic Nerve Sheath Diameter in Patients Undergoing Laparoscopic Gynecologic Surgery