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Myomectomy fever: testing the dogma
R E Iverson1, D Chelmow, K Strohbehn
1Tufts University School of Medicine and New England Medical Center, Massachusetts General Hospital, Boston 02111, USA.
Objective:
To test the hypothesis that elevated temperature is more common after abdominal myomectomy than after hysterectomy.
Design:
Retrospective cohort study.
Setting:
Academic medical center.
Patient(S):
One hundred one women who underwent abdominal myomectomy and 160 women who underwent total abdominal hysterectomy for benign disease from 1988-1993.
Intervention(S):
Abdominal myomectomy.
Main Outcome Measure(S):
Temperature of > or = 38.5 degrees C within 48 hours after operation.
Result(S):
Although univariate analysis showed that the incidence of elevated temperature was slightly greater among patients who underwent myomectomy (33% versus 26%, relative risk 1.29, 95% confidence interval 0.88-1.90), multivariate logistic regression analysis showed a 3.29 relative risk of elevated temperature (95% confidence interval 1.56-6.96) with myomectomy after controlling for age, parity, estimated blood loss, and treatment by the general gynecology service.
Conclusion(S):
After controlling for confounders, myomectomy was found to be an independent predictor for fever in the first 48 hours after operation.
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