[Microbiological aspects of suppurative-inflammatory complications (pericultitis) after hysterectomy]

Bacteriologic findings in 101 patients before and after hysterectomy for benign tumors, inflammations, uterine prolapse are presented. Changes in aerobic and anaerobic vaginal and endocervical microflora species were demonstrated with respect to the phase of the cycle and the age of the patient. Pre- and postoperative genital mifroflora is represented by aerobic and anaerobic opportunity organisms, such as enterococcus, epidermal staphylococcus, E. coli, lactobacilli, eubacteria, and bacteroides. Postoperative complications are caused by associations of aerobic and anaerobic bacteria, with anaerobic organisms as the leading causative agent. Categories of risk with respect to infectious postoperative complications have been identified on the basis of microbiologic parameters.