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Surgical site infection after hysterectomy
AeuMuro Gashaw Lake1, Alexandra M McPencow, Madeline A Dick-Biascoechea
1Department of Obstetrics, Gynecology, and Reproductive Sciences, Yale University School of Medicine, New Haven, CT.
American Journal of Obstetrics and Gynecology
|June 18, 2013
Summary
Vaginal hysterectomy is associated with fewer superficial surgical site infections (SSI) compared to laparotomy. This study highlights key risk factors for SSI after hysterectomy, emphasizing the importance of surgical approach.
Area of Science:
- Gynecology
- Surgical Infections
- Public Health
Background:
- Surgical site infections (SSI) are a significant concern following hysterectomy.
- Understanding the incidence and risk factors for SSI is crucial for improving patient outcomes.
Purpose of the Study:
- To estimate the occurrence of surgical site infections (SSI) after hysterectomy.
- To identify risk factors associated with SSI following hysterectomy.
Main Methods:
- Cross-sectional analysis of 2005-2009 American College of Surgeons National Surgical Quality Improvement Program data.
- Inclusion of 13,822 women undergoing hysterectomy.
- Logistic regression models to assess risk factors for superficial SSI (cellulitis) and deep/organ-space SSI.
Main Results:
- Superficial SSI (cellulitis) occurred in 1.6% of patients.
- Deep and organ-space SSI occurred in 1.1% of patients.
- Risk factors for cellulitis included laparotomy, longer operative time, higher ASA class, obesity (BMI ≥40 kg/m²), and diabetes mellitus.
Conclusions:
- The vaginal approach for hysterectomy demonstrated a decreased occurrence of superficial SSI.
- Findings support the vaginal approach as the preferred route for hysterectomy to minimize SSI risk.
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