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Infectious morbidity after total laparoscopic hysterectomy: does concomitant salpingectomy make a difference?
Author(s) -
Ghezzi F,
Cromi A,
Siesto G,
Bergamini V,
Zefiro F,
Bolis P
Publication year - 2009
Publication title -
bjog: an international journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.157
H-Index - 164
eISSN - 1471-0528
pISSN - 1470-0328
DOI - 10.1111/j.1471-0528.2008.02085.x
Subject(s) - medicine , salpingectomy , concomitant , surgery , hysterectomy , laparoscopy , blood loss , significant difference , pregnancy , genetics , biology , ectopic pregnancy
The study was aimed to test the hypothesis that preservation of the fallopian tubes at the time of total laparoscopic hysterectomy (TLH) increases the risk for postoperative infection. The study group consisted of 137 consecutive women undergoing TLH with conservation of the ovaries, who had concomitant bilateral total salpingectomy at the time of TLH. The control group included 145 women who had had TLH without salpingo‐oophorectomy before the study period. Women undergoing bilateral total salpingectomy at the time of TLH had a lower rate of infectious morbidity compared with those who had TLH alone (3/137 versus 14/145, P = 0.01). Multivariable analysis showed that bilateral total salpingectomy at the time of TLH and blood loss are independent predictors of infectious morbidity.