Risk factors for surgical site infection after hysterectomy

Abstract

Introduction: The aim of the study was to define the clinical and laboratory characteristics of patients who had surgical site infection (SSI) after hysterectomy. Methodology: This study was a retrospective cohort study. The patient data of 840 subjects who had undergone any type of hysterectomy and reported SSI after surgery were obtained from the archives of a tertiary referral center. The different types of hysterectomy procedures performed on these patients included total abdominal hysterectomy (TAH), laparoscopic hysterectomy (LH), and vaginal hysterectomy (VH). In addition, age, body mass index (BMI), preoperative and postoperative blood parameters, gravidity, and parity were also documented. Results: TAH, LH, and VH were performed on 63.2% (n = 531), 21.6% (n = 181), and 15.2% (n = 128) of patients, respectively. Overall, SSIs were observed in 3.7% (n = 31) of all hysterectomy patients. Among them, 4.5% of TAH patients, 1.7% of LH patients, and 3.1% of VH patients had SSIs after the hysterectomy operation. Analysis of the data revealed that the patients with SSIs had significantly higher BMIs, lower preoperative hemoglobin, lower postoperative hemoglobin and hematocrit, and higher postoperative platelet counts compared to patients who did not have any SSIs. Conclusions: High BMI, blood loss during surgery, low hematocrit levels, and resulting anemia increased the incidence of SSI after hysterectomy. Among the different types of hysterectomy, LH was found to be relatively better than TAH and VH in preventing the occurrence of SSI.

Assessment of the Relationship of Anthropometric Indices With Vitamin D, Zinc, and Fasting Blood Sugar Levels in Women With and Without Infection Following Abdominal Hysterectomy: A Case-Control Study

“…Low levels of vitamin D levels and high levels of BMI were risk factors for postoperative infection. These results are consistent with those of Patil et al (20) and Göksever Çelik et al (21).…”

ESKAPE Pathogens in Bloodstream Infections Are Associated With Higher Cost and Mortality but Can Be Predicted Using Diagnoses Upon Admission

“…Word group 2 is perhaps more interesting because the 3 words refer to interfaces of the body with the outside world: “tract,” “ulcer,” and “abscess.” Finally, word group 3 consisted of words associated with the lower body, blood, and skin and was the least predictive and conservative. Word group 3 used “anemia” as a predictor, which was previously associated with surgical site infection after hysterectomy [37], pneumonia after stroke [38], and general infection with aplastic anemia [39]. Similarly, the lower body words of “leg” and “foot” can refer to lower body infections associated with abscesses or ulcers, which can manifest as a comorbidity of diabetes [40].…”

What We Know about the Long-Term Risks of Hysterectomy for Benign Indication—A Systematic Review

“…Surgical complications, mortality risks, and various short-term morbidities, including increased risk of intra-abdominal adhesions, postoperative infections, pelvic organ dysfunction, and thromboembolic events associated with hysterectomy, are well described [18][19][20][21]. Rates of major morbidities and mortality for the abdominal and laparoscopic hysterectomy routes are shown in (Table 1).…”