Posthysterectomy infection relationship to timing after cervical conization

D. L. Hemsell, E. R. Johnson, P. Hemsell, B. Nobles

Research output: Contribution to journalArticle

Abstract

Identification of risk factors that are associated with an increased postoperative infection rate is important. Previous pelvic surgery, such as conization of the cervix, is a potential risk factor for posthysterectomy infection. Prospective data were collected on 539 women undergoing conization/hysterectomy in Parkland between August of 1978 and May of 1995. Prophylaxis was given prior to hysterectomy. Forty-eight women (9%) developed major postoperative infection in 52 sites. Nine (19%) developed infection after discharge from the hospital; 6 (67%) of these were pelvic abscess or infected hematoma. Infection developed in more women after abdominal than after vaginal hysterectomy (20/117 [17%] versus 28/422 [7%]; P=0.001). Any conization/hysterectomy interval from immediate up to 120 days was not associated with an increased infection rate after vaginal hysterectomy (P=0.59), whereas the interval to abdominal hysterectomy was a significant (P=0.002) risk for infection if the hysterectomy occurred up to 8 days after the conization. The prophylactic agent was related to infection and abscess formation. Surgery scheduling and prophylaxis choices are based on these data.

Original languageEnglish (US)
Pages (from-to)483
Number of pages1
JournalClinical Infectious Diseases
Volume25
Issue number2
Publication statusPublished - 1997

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ASJC Scopus subject areas

  • Immunology

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