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Archives of Gynecology and Obstetrics

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01-10-2012 | General Gynecology

Prevention of infectious morbidity after elective abdominal hysterectomy

Authors: Ahmet Uysal, Cüneyt Eftal Taner, Semih Mun, Söhret Aydemir

Published in: Archives of Gynecology and Obstetrics | Issue 4/2012

Abstract

Objective

Our aim was to investigate whether posthysterectomy infectious morbidity could be reduced by intravaginal therapy before operations.

Materials and methods

Women expected to undergo elective total abdominal hysterectomy were included. Vaginal flora was evaluated by preoperative Gram-stained vaginal smears up to Nugent’s criteria. Study group were administered vaginal combination therapy including 500 mg metronidazole and 100 mg miconazole nitrate two times a day for 7 days. Control group were not given any preoperative vaginal therapy. Postoperative infectious morbidity was evaluated and compared.

Results

Ninety-five women in the study group and 97 women in the control group completed the study protocol. Women with abnormal flora had significantly more wound and vaginal cuff infections than the women with normal flora in the control group. Urinary infections were significantly higher in the study group (38.9 vs. 23.7 %) and vaginal cuff infections were significantly higher in the untreated control group (2.1 vs. 8.2 %).

Conclusions

We concluded that postoperative vaginal cuff infections can be decreased by treating abnormal vaginal flora before elective abdominal hysterectomies.

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Title: Prevention of infectious morbidity after elective abdominal hysterectomy
Authors: Ahmet Uysal
Cüneyt Eftal Taner
Semih Mun
Söhret Aydemir
Publication date: 01-10-2012
Publisher: Springer-Verlag
Published in: Archives of Gynecology and Obstetrics / Issue 4/2012
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-012-2382-7

At a glance: The STEP trials

Springer Medicine

Prevention of infectious morbidity after elective abdominal hysterectomy

Abstract

Objective

Materials and methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Objective

Materials and methods

Results

Conclusions

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