Perioperative influences on infectious morbidity in radical hysterectomy

William J. Mann, James W. Orr, Hugh M. Shingleton, J. Max Austin, Kenneth D. Hatch, Peyton T. Taylor, Edward Partridge, Seng Jaw Soong

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36 Scopus citations

Abstract

A series of 207 patients, who underwent radical hysterectomy with bilateral pelvic lymphadenectomy, is presented. Hospital charts were reviewed to determine perioperative influences on operative and postoperative morbidity. Performance of incidental appendectomy or prior conization did not affect infectious morbidity. Prophylactic antibiotics decreased the incidence of pelvic abscess and/or cellulitis. Use of "low-dose" heparin was associated with a significant increase in operative blood loss. One patient, reoperated on for bowel obstruction, died of pulmonary embolus. Ureteral fistulae occurred in 1.1% of patients not previously irradiated. Two bladder injuries and one ureteral injury were corrected intraoperatively; one postoperative ureterovaginal fistula was repaired surgically. Five-year survival for patients with stage 1B carcinoma of the cervix was 87%. Operative techniques are discussed.

Original languageEnglish (US)
Pages (from-to)207-212
Number of pages6
JournalGynecologic oncology
Volume11
Issue number2
DOIs
StatePublished - Apr 1981

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ASJC Scopus subject areas

  • Oncology
  • Obstetrics and Gynecology

Cite this

Mann, W. J., Orr, J. W., Shingleton, H. M., Max Austin, J., Hatch, K. D., Taylor, P. T., Partridge, E., & Soong, S. J. (1981). Perioperative influences on infectious morbidity in radical hysterectomy. Gynecologic oncology, 11(2), 207-212. https://doi.org/10.1016/S0090-8258(81)80010-8