腹腔鏡下腟式子宮全摘術後の骨盤内感染と術前腟内洗浄の消毒薬についての検討

抄録

Objective: We aimed to clarify the effectiveness of preoperative vaginal preparation with povidone-iodine in preventing pelvic infection after total laparoscopic hysterectomy (TLH).

Methods: Our retrospective study included 365 patients who underwent TLH at our hospital between June 2017 and August 2021. The rate of postoperative pelvic infection was compared between 2 groups: patients who underwent preoperative vaginal preparation using povidone-iodine (n=314) or benzethonium chloride (n=51).

Results: Postoperative pelvic infection was observed in 3.0% of the study participants. Morbidity from pelvic infection was more severe in patients who underwent preoperative vaginal preparation with benzethonium chloride than in patients who underwent preparation with povidone-iodine (13.3% vs 1.8%). No significant differences were found in operative time, blood loss, or weight of the uterus between the two groups.

Conclusion: Preoperative vaginal preparation with povidone-iodine before TLH can be considered more effective than benzethonium chloride in reducing morbidity from pelvic infection after surgery.