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C-reactive protein assessment to predict early septic complications after laparoscopic bowel resection for endometriosis: A diagnostic study

BJOG: An International Journal of Obstetrics and Gynaecology May 18, 2019

Scattarelli A, et al. - In this retrospective study, data prospectively recorded in the CIRENDO database were analyzed for assessing the predictive value of C-reactive protein (CRP) level for early septic complications after laparoscopic bowel resection for endometriosis. Segmental resection or disc excision was undertaken in 303 women for colorectal endometriosis during 40 consecutive months. Findings revealed the utility of postoperative CRP monitoring in the prediction of early septic pelvic complications following bowel endometriosis surgery, that may influence the management of postoperative outcomes and hospitalization stay. At postoperative day 4, the CRP cut off value of 100 mg/L could predict early septic pelvic complications (sensitivity, specificity, positive and negative predictive values of respectively 76, 83, 30.2 and 90.4%), while the area under the curve was 0.85.
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