Antibiotics and suction drainage as prophylaxis in vaginal and abdominal hysterectomy.

Abstract:

:A randomized prospective study compared the efficacy of a three-dose perioperative course of intravenously administered cefuroxime and metronidazole versus suction drainage of the vaginal vault for preventing postoperative infection in abdominal and vaginal hysterectomies. In vaginally operated patients, a significant difference in the rate of vaginal cuff abscess formation was found between the drain group and the antibiotic group (33 versus 0%). In the abdominally operated patients, no significant difference was found (7 versus 0%). The rate of cystitis was not influenced by the prophylactic method. A positive correlation was found between Bacteroides sp isolated from the vaginal fluid and vaginal cuff abscesses in the vaginally operated women. The complications of infection are explained by the decrease in host defense, occurring more frequently in patients treated with the vaginal approach than with the abdominal technique.

journal_name

Obstet Gynecol

authors

Wijma J,Kauer FM,van Saene HK,van de Wiel HB,Janssens J

subject

Has Abstract

pub_date

1987-09-01 00:00:00

pages

384-8

issue

3 Pt 1

eissn

0029-7844

issn

1873-233X

journal_volume

70

pub_type

临床试验,杂志文章,随机对照试验
  • Acute effects of maternal smoking on fetal breathing and movements.

    abstract::The acute effects of cigarette smoking on fetal breathing movements and fetal movements were determined with a real-time ultrasound system in 10 healthy habitually smoking women in late gestation. The study was carried out for 1 hour before and 1 hour after the woman smoked a single cigarette. The maternal blood gluco...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Eriksen PS,Gennser G,Löfgren O,Nilsson K

    更新日期:1983-03-01 00:00:00

  • Antenatal detection of fetal A-V dissociation utilizing real-time B-mode ultrasound.

    abstract::Congenital heart block is an unusual cause of fetal bradycardia. Until recently, the diagnosis could be confirmed only by evaluation of the fetal cardiac electrical activity. Two cases are reported in which the diagnosis of atrio-ventricular (A-V) dissociation was confirmed in the antepartum period by real-time ultras...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Platt LD,Manning FA,Gray C,Guttenburg M,Turkel SB

    更新日期:1979-03-01 00:00:00

  • Cigarette smoking and epithelial ovarian cancer by histologic type.

    abstract:OBJECTIVE:To examine cigarette smoking as a risk factor for different types of epithelial ovarian cancer. METHODS:We used data from the Cancer and Steroid Hormone Study, a multicenter, population-based, case control investigation. Cases were 447 women aged 20-54 years with diagnoses of epithelial ovarian cancer. Contr...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,多中心研究

    doi:10.1016/s0029-7844(99)00531-1

    authors: Marchbanks PA,Wilson H,Bastos E,Cramer DW,Schildkraut JM,Peterson HB

    更新日期:2000-02-01 00:00:00

  • The impact of medical legal risk on obstetrician-gynecologist supply.

    abstract:OBJECTIVE:To evaluate the effects of medical legal risk on practice location of obstetrician-gynecologists. METHODS:We used the American College of Obstetricians and Gynecologists (ACOG) Membership Record to determine the number of Fellows and Junior Fellows by state. We obtained state malpractice premiums from the Me...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/01.AOG.0000157468.12907.1a

    authors: Robinson P,Xu X,Keeton K,Fenner D,Johnson TR,Ransom S

    更新日期:2005-06-01 00:00:00

  • Hormones and sexuality: effect of estrogen and progestogen.

    abstract::This study was planned to determine the effects of estrogen and progestogen on female sexual behavior. Forty-nine women who had undergone hysterectomy and bilateral salpingo-oophorectomy took part in a double-blind placebo-controlled cross-over study. Over a 12-month period each woman received 3 months each of ethinyl...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Dennerstein L,Burrows GD,Wood C,Hyman G

    更新日期:1980-09-01 00:00:00

  • Analysis of cryolesions in the uterine cervix: application techniques, extension, and failures.

    abstract::Although cryosurgery is regularly used for treatment of cervical intraepithelial neoplasia (CIN), there are few data concerning freeze technique and attendant extension of the cryolesion. This study evaluated how to create cryolesions extensive enough to eradicate the CIN lesion completely. The way the extension of th...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Boonstra H,Koudstaal J,Oosterhuis JW,Wymenga HA,Aalders JG,Janssens J

    更新日期:1990-02-01 00:00:00

  • A rapid method for the presurgical cleansing of hands.

    abstract::A new rapid method of presurgical cleansing of the hands has been evaluated in a clinical setting. The effectiveness of a 90 second jet wash has been compared with a standard 10-minute presurgical scrub. Bacteriologic cultures were obtained from the fingertips of interns, residents, and staff of the Department of Obst...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Decker LA,Gross A,Miller FC,Read JA,Cutright DE,Devine J

    更新日期:1978-01-01 00:00:00

  • Coexistent lithopedion and live abdominal ectopic pregnancy.

    abstract:BACKGROUND:Abdominal pregnancy is a rare, life-threatening variant of ectopic pregnancy, and thus its diagnosis and management remain controversial. CASE:A multigravida was admitted for complaints of abdominal swelling that had been occurring for 2 years and symptoms of pregnancy in the 3 months before admission. Radi...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0b013e31819ecc82

    authors: Massinde AN,Rumanyika R,Im HB

    更新日期:2009-08-01 00:00:00

  • Clinical applications of cell-free fetal DNA from maternal plasma.

    abstract:OBJECTIVE:To describe our clinical experience with detection and analysis of cell-free fetal DNA derived from maternal plasma for prenatal sexing and fetal rhesus-D typing. METHODS:Real-time quantitative polymerase chain reactions (PCRs) of rhesus-D sequences and the SRY gene were validated and offered to patients wit...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/01.AOG.0000103996.44503.F1

    authors: Rijnders RJ,Christiaens GC,Bossers B,van der Smagt JJ,van der Schoot CE,de Haas M

    更新日期:2004-01-01 00:00:00

  • CA 125 serum levels correlated with second-look operations among ovarian cancer patients.

    abstract::CA 125, which is an antigenic determinant expressed by many epithelial ovarian cancers, is measured in serum using a solid phase immunoradiometric assay. Sera from 55 patients who were in clinical remission and underwent a second-look operation to assess disease status after chemotherapy were studied prospectively. Al...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/00006250-198605000-00016

    authors: Berek JS,Knapp RC,Malkasian GD,Lavin PT,Whitney C,Niloff JM,Bast RC Jr

    更新日期:1986-05-01 00:00:00

  • Early abdominal incision recurrence in a patient with stage I adenocarcinoma of the endometrium.

    abstract:BACKGROUND:Although most patients with a surgical stage I endometrial cancer have an excellent prognosis, some patients will experience a recurrence. Endometrial cancer typically recurs at the vaginal cuff or in the pelvis; however, it can recur distantly in the abdomen or lung. Although recurrences have been reported ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/01.AOG.0000123268.57857.0d

    authors: Chen CC,Straughn JM Jr,Kilgore LC

    更新日期:2004-11-01 00:00:00

  • von Willebrand's disease diagnosed after menorrhagia worsened from levonorgestrel intrauterine system.

    abstract:BACKGROUND:Adult females with menorrhagia may have unrecognized mild von Willebrand's disease. Most females with known von Willebrand's disease report menorrhagia. CASE:A 38-year-old healthy female desired contraception. She described heavy menses lasting 8 days since menarche. History included uncomplicated vaginal d...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/01.AOG.0000157758.94890.59

    authors: Lukes AS,Perry S,Ortel TL

    更新日期:2005-05-01 00:00:00

  • Chorioamnionitis and cerebral palsy: a meta-analysis.

    abstract:OBJECTIVE:To examine the relationships between clinical or histological chorioamnionitis and cerebral palsy using a meta-analysis approach. DATA SOURCES:A systematic review of the literature appeared in PubMed between 2000 and 2009 was conducted using the search terms "cerebral palsy" and "infection," with broad-scope...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,meta分析,评审

    doi:10.1097/AOG.0b013e3181e90046

    authors: Shatrov JG,Birch SCM,Lam LT,Quinlivan JA,McIntyre S,Mendz GL

    更新日期:2010-08-01 00:00:00

  • Placental Abruption With Delayed Fetal Compromise in Maternal Acetaminophen Toxicity.

    abstract:BACKGROUND:After maternal acetaminophen overdose, fetal fulminant liver failure, stillbirth, neonatal death, or preterm delivery may occur. CASE:A 27-year-old woman, gravida 2 para 1, presented at 28 weeks of gestation after unintentional acetaminophen overdose. Four days after ingestion, her laboratory values worsene...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000002089

    authors: Taney J,Anastasio H,Paternostro A,Berghella V,Roman A

    更新日期:2017-07-01 00:00:00

  • Validation of the joint commission exclusion criteria for elective early-term delivery.

    abstract:OBJECTIVE:To evaluate whether current Joint Commission (JC) exclusion criteria for measure PC-01, "Elective Delivery" before 39 weeks of gestation, accurately identify valid, codeable indications for planned early-term delivery. METHODS:We performed a review and critical analysis of all cases recorded as noncompliant ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000000059

    authors: Clark SL,Meyers JA,Milton CG,Frye DR,Horner S,Baker A,Perlin JB

    更新日期:2014-01-01 00:00:00

  • Efficacy and safety of intrapartum electronic fetal monitoring: an update.

    abstract:OBJECTIVE:To compare the efficacy and safety of routine electronic fetal monitoring (EFM) of labor with intermittent auscultation, using the results of published randomized controlled trials (RCTs). DATA SOURCES:We identified RCTs by searching the MED-LINE data base for the period 1966-1994, contacting experts, and re...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:

    authors: Thacker SB,Stroup DF,Peterson HB

    更新日期:1995-10-01 00:00:00

  • Humidified compared with dry, heated carbon dioxide at laparoscopy to reduce pain.

    abstract:OBJECTIVE:To study whether using 95% humidified, heated carbon dioxide (CO(2)) at laparoscopy reduces pain compared with dry, heated CO(2). METHODS:Patients were randomly assigned to either heated, 95% humidified CO(2) (study group) or heated, dry CO(2) (control group) during laparoscopy. Pain control was achieved per...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/01.AOG.0000194065.59688.fa

    authors: Beste TM,Daucher JA,Holbert D

    更新日期:2006-02-01 00:00:00

  • Prediction of preterm delivery in the second trimester.

    abstract:OBJECTIVE:The aim of this study was to estimate the probability of spontaneous delivery at 34 weeks or less according to cervical assessment by transvaginal scan associated with previous obstetric history. METHODS:Ultrasound transvaginal cervical length and presence of funneling were evaluated in 1,958 singleton pregn...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/01.AOG.0000154157.22500.1d

    authors: de Carvalho MH,Bittar RE,Brizot Mde L,Bicudo C,Zugaib M

    更新日期:2005-03-01 00:00:00

  • Clinical and pathologic characteristics of women undergoing hysterectomy after tubal sterilization.

    abstract:OBJECTIVE:To examine differences in clinical and pathologic characteristics between women undergoing hysterectomy who had had prior tubal sterilization and those who had not. METHODS:One thousand eight hundred fifty-one women undergoing hysterectomy were enrolled as part of a multicenter, prospective cohort study. We ...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1016/0029-7844(96)00149-4

    authors: Hillis SD,Marchbanks PA,Peterson HB

    更新日期:1996-08-01 00:00:00

  • Cortical blindness and Anton syndrome in a patient with obstetric hemorrhage.

    abstract:BACKGROUND:Cortical blindness is characterized by loss of vision in the presence of intact anterior visual pathways. Anton syndrome, a form of anosognosia, is a rare complication of cortical blindness involving compromise of the visual association centers, with resulting patient denial of blindness. Both syndromes have...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(97)00718-7

    authors: Argenta PA,Morgan MA

    更新日期:1998-05-01 00:00:00

  • Association between obstetrician forceps volume and maternal and neonatal outcomes.

    abstract:OBJECTIVE:To estimate the association between obstetric forceps volume and severe perineal lacerations or adverse neonatal outcomes. METHODS:This is a retrospective cohort of forceps deliveries performed at a tertiary care hospital. Obstetricians were grouped by quartile of forceps volume over the study time period. S...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000000096

    authors: Miller ES,Barber EL,McDonald KD,Gossett DR

    更新日期:2014-02-01 00:00:00

  • Revisiting the fetal loss rate after second-trimester genetic amniocentesis: a single center's 16-year experience.

    abstract:OBJECTIVE:To estimate an institution's specific fetal loss rate after a second-trimester genetic amniocentesis. METHODS:This is a retrospective cohort study using our prenatal diagnosis database for all pregnant women presenting for care between 1990 and 2006. We compared the fetal loss rate in women who underwent amn...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0b013e318162eb53

    authors: Odibo AO,Gray DL,Dicke JM,Stamilio DM,Macones GA,Crane JP

    更新日期:2008-03-01 00:00:00

  • Death from pseudomembranous enterocolitis.

    abstract::During the past 2 years at the Los Angeles County-University of Southern California Medical Center (LAC-USC), there have been 2 deaths from pseudomembranous enterocolitis. Each of these deaths occurred postoperatively in previously healthy women who received pronlonged antibiotic prophylasix. The implications of these...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/00006250-197506000-00002

    authors: Ledger WJ,Puttler OL

    更新日期:1975-06-01 00:00:00

  • Relaxin in human pregnancy serum measured with an homologous radioimmunoassay.

    abstract::This study reports serum levels of relaxin in normal and special-interest pregnancies using an homologous radioimmunoassay for human relaxin. The mean levels in uncomplicated antenatal patients were lower than those reported in studies using heterologous assays, but the trend in serum levels was similar. Serum levels ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Bell RJ,Eddie LW,Lester AR,Wood EC,Johnston PD,Niall HD

    更新日期:1987-04-01 00:00:00

  • Sonographic demonstration of the progression of meconium peritonitis.

    abstract::A case of meconium peritonitis that was diagnosed ultrasonographically in the early third trimester in a patient with acute polyhydramnios is presented. The pathophysiologic progression of this condition is demonstrated by serial ultrasound examinations. Neonatal radiologic confirmation of the diagnosis is also presen...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Williams J 3rd,Nathan RO,Worthen NJ

    更新日期:1984-12-01 00:00:00

  • Bioactivity of serum hCG in preeclampsia.

    abstract:OBJECTIVE:To compare hCG levels, obtained by biologic and immunologic means, in women with normal pregnancies and women with preeclampsia. METHODS:Peripheral blood samples from women in the third trimester with preeclampsia (n = 30) or normal pregnancies (n = 30) were assayed for immunoactive and bioactive hCG (mouse ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(01)01463-6

    authors: Casart YC,Camejo MI,Proverbio F,Febres F

    更新日期:2001-09-01 00:00:00

  • Microangiopathic Hemolytic Anemia Due to Malignancy in Pregnancy.

    abstract:BACKGROUND:Microangiopathic disorders during pregnancy remain a diagnostic challenge because these conditions often imitate more common obstetric diseases. CASE:A 31-year-old multigravid woman delivered at term with a postpartum course complicated by laboratory indices consistent with hemolysis, elevated liver enzymes...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000001675

    authors: Happe SK,Zofkie AC,Nelson DB

    更新日期:2016-12-01 00:00:00

  • Hormone replacement therapy after transcervical resection of the endometrium.

    abstract:OBJECTIVE:To determine if women who have undergone transcervical resection of the endometrium can be treated safely with estrogens alone. METHODS:Sixty-two postmenopausal women who had undergone endometrial resection were recruited into a double-blind, randomized study. Twenty-one had menopausal symptoms at the primar...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/0029-7844(96)00308-0

    authors: Istre O,Holm-Nielsen P,Bourne T,Forman A

    更新日期:1996-11-01 00:00:00

  • Patient Experiences With Miscarriage Management in the Emergency and Ambulatory Settings.

    abstract:OBJECTIVE:To quantitatively and qualitatively describe the patient experience for clinically stable patients presenting with miscarriage to the emergency department (ED) or ambulatory clinics. METHODS:We present a subanalysis of a mixed-methods study from 2016 on factors that influence miscarriage treatment decision-m...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000003571

    authors: Miller CA,Roe AH,McAllister A,Meisel ZF,Koelper N,Schreiber CA

    更新日期:2019-12-01 00:00:00

  • Prenatal Testing in the Genomic Age: Clinical Outcomes, Quality of Life, and Costs.

    abstract:OBJECTIVE:To use a decision-analytic model to assess a comprehensive set of outcomes of prenatal genetic testing strategies among women of varying ages. METHODS:We assessed outcomes of six testing strategies incorporating diagnostic testing with chromosomal microarray, multiple marker screening, cell-free DNA screenin...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000001029

    authors: Kaimal AJ,Norton ME,Kuppermann M

    更新日期:2015-10-01 00:00:00