Endocrine Abstracts

Purpose: We sought to determine if in the group of patients who underwent gynecologic abdominal interventions diabetes was an independent risk factor of perioperative complications.

Material and methods: The study group included 62 women from both the diabetic and the control group who underwent elective gynecologic laparotomies such as hysterectomy or adnexectomy. The patients from diabetic group were pair-matched with patients without diabetes based on the following criteria: similar age and BMI, the same gynecologic diagnosis, undergoing the same type of gynecologic surgery, operation being performed on in the same operating room and hospitalization within the same time interval. In every matched couple of patients (diabetic vs non-diabetic patient) we compared: number and characteristics of intra- and postoperative complications, postoperative length of stay in hospital, decrease in hemoglobin level, increase in body temperature and postoperative use of antibiotics.

Results: The study did not show any statistically significant differences between the diabetic patients and corresponding patients from the control group in terms of the examined parameters.

Conclusion: Diabetes was not an independent risk factor of early postoperative complications after abdominal adnexectomies and hysterectomies in the examined group of patients. Good pre-operative glycemic control and keeping blood glucose in intra and postoperative time within normal ranges results in the reduction of complications in diabetic patients to the level typical of non-diabetics.