Effect of paracentesis of ascitic fluids on urinary output and blood indices in patients with severe ovarian hyperstimulation syndrome.
OBJECTIVE
To determine the isolated effect of abdominal paracentesis of ascitic fluid in women with severe OHSS on urine production and blood indices.


METHODS
Retrospective interventional study.


METHODS
Gynecology department at the Lis Maternity Hospital, affiliated to Tel Aviv University.


METHODS
Thirty women with severe OHSS.


METHODS
Abdominal paracentesis according to clinical indications.


METHODS
Urinary output, blood urea nitrogen, as well as a complete blood count were measured before and following the procedure.


RESULTS
Urinary output increased from 1890 +/- 128 mL per 24 hours on the day before paracentesis to 2,660 +/- 226 mL per 24 hours after the procedure. Blood urea nitrogen values were 8.9 +/- 0.56 mg/dL and 7.8 +/- 0.53 mg/dL on the days before and after paracentesis, respectively. White blood cell count decreased from 15.4 +/- 1.1 (x 10(3) cells/mm(3)) on the days before the paracentesis to 13.3 +/- 0.9 (x 10(3) cells/mm(3)) after the procedure. Hematocrit was reduced significantly from 35.2 +/- 1.0% before the paracentesis to 33.4 +/- 0.8% after paracentesis.


CONCLUSIONS
Paracentesis of ascitic fluids in women with severe OHSS has an isolated effect in improving renal function, as is evident by the increased urinary output and reduced blood urea nitrogen.
Levin
Ishai
I
Department of Gynecology, Lis Maternity Hospital, Tel Aviv Sourasky Medical Center, affiliated with the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. ishai_1@hotmail.com
Almog
Benny
B
Avni
Amiram
A
Baram
Amiram
A
Lessing
Joseph B
JB
Gamzu
Ronni
R
D000328:Adult; D001202:Ascitic Fluid; D001806:Blood Urea Nitrogen; D004231:Diuresis; D005260:Female; D006400:Hematocrit; D006801:Humans; D007958:Leukocyte Count; D016471:Ovarian Hyperstimulation Syndrome / Q000097:blood / Q000503:physiopathology*; D019152:Paracentesis; D012189:Retrospective Studies; D012720:Severity of Illness Index