title: Does lymphadenectomy have influence on postoperative body fluid distribution?
abstract: OBJECTIVE
  We compared the fluid volume parameters in women undergoing gynaecological surgery for benign and malignant conditions before and after surgery using bioelectrical impedance vectors.
  
  
  METHODS
  A total of 181 patients were enrolled. In all, 89 patients had surgery for benign conditions and 92 patients underwent oncological procedures, including lymph node dissection, for malignant diseases. Bioelectrical impedance analysis (BIA) parameters were measured on the day of hospitalisation before any treatment and at 24h and 1 month after the surgical intervention. The BIA parameters measured included extracellular water (ECW), intracellular water (ICW), and total body water (TBW).
  
  
  RESULTS
  TBW increased significantly 1 month after surgery in all cases (p<0,05 in both group). ECW was significantly higher (p<0.05) and ICW was significantly lower (p<0,05) in the malignant group than the benign group.
  
  
  CONCLUSIONS
  Radical gynaecological surgeries, including lymph node dissection, have a greater effect on body water distribution than surgeries performed for benign conditions.
authors.affiliation: Gynecological Oncologist, Mersin State Hospital, Turkey. Electronic address: tolgaytuyan@yahoo.com.
authors.forename: Tolgay Tuyan
authors.initials: TT
authors.lastname: İlhan
authors.affiliation: Selçuk University, Faculty of Medicine, Department of Obstetrics and Gynecology, 42075, Konya, Turkey. Electronic address: mustafa_gazi_ucar@hotmail.com.
authors.forename: Mustafa Gazi
authors.initials: MG
authors.lastname: Uçar
authors.affiliation: Selçuk University, Faculty of Medicine, Department of Obstetrics and Gynecology, 42075, Konya, Turkey. Electronic address: aybiketzgl@hotmail.com.
authors.forename: Aybike Tazegül
authors.initials: AT
authors.lastname: Pekin
authors.affiliation: Selçuk University, Faculty of Medicine, Department of Obstetrics and Gynecology, 42075, Konya, Turkey. Electronic address: setenayarzu@hotmail.com.
authors.forename: Setenay Arzu
authors.initials: SA
authors.lastname: Yılmaz
authors.affiliation: Selçuk University, Faculty of Medicine, Department of Obstetrics and Gynecology, 42075, Konya, Turkey. Electronic address: ozlemsecilmis@hotmail.com.
authors.forename: Özlem Seçilmiş
authors.initials: ÖS
authors.lastname: Kerimoğlu
authors.affiliation: Selçuk University, Faculty of Medicine, Department of Obstetrics and Gynecology, Gynecologic Oncology Unit, 42075, Konya, Turkey. Electronic address: celikcet@hotmail.com.
authors.forename: Çetin
authors.initials: Ç
authors.lastname: Çelik
mesh_terms: D000328:Adult; D000368:Aged; D001834:Body Water / Q000502:physiology*; D017097:Electric Impedance; D045604:Extracellular Fluid / Q000502:physiology*; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects; D006801:Humans; D007424:Intracellular Fluid / Q000502:physiology*; D008197:Lymph Node Excision / Q000009:adverse effects*; D008875:Middle Aged; D009369:Neoplasms / Q000601:surgery; D011184:Postoperative Period; D011446:Prospective Studies
keywords: Bioimpedance; Body fluid distribution; Gynecologic surgery; Lymph node dissection