Using Ultrasound to Measure Intra-Abdominal Blood Loss and Predict Outcomes After Gynecological Surgery in Women Aged 18 to 70

What this Trial Is About

This research aims to assess intra-abdominal blood volume and hemodynamic status in women after gynecological surgery by measuring the diameter of the inferior vena cava IVC using 3D and Doppler ultrasound within 24 hours post-surgery. The study focuses on women undergoing laparotomy, laparoscopy, or vaginal surgery and examines how ultrasound findings relate to postoperative outcomes such as hemoglobin drop, blood transfusion needs, pain, infection, and hospital stay length. It also seeks to define normal postoperative fluid volume and IVC parameters and to evaluate if ultrasound-guided care can improve recovery and avoid unnecessary treatments. Participants will receive abdominal and transvaginal ultrasound imaging within 24 to 48 hours after their gynecological surgery. The study involves measuring intra-abdominal fluid volume, IVC diameter, and its collapsibility index. Researchers will monitor these parameters alongside clinical outcomes to better understand their relationship. This cohort study includes about 250 women and does not involve any treatment interventions, focusing on diagnostic evaluation. During the study, participants will undergo ultrasound assessments shortly after surgery and have their clinical outcomes tracked, including hemoglobin levels, transfusion needs, infection signs, pain, and hospital stay duration. Data will be collected up to 7 days post-operation, with postoperative fever and patient discomfort after ultrasound also recorded. This observational study provides important information on postoperative fluid status and recovery in women having gynecological surgery.

Ultrasound for Assessment of Intra-Abdominal Blood Loss After Gynecological Surgery