Iranian Society of Gynecology Oncology

Document Type : Original Research Article

Authors

Department of Obstetrics and Gynecology, SDM College of Medical Sciences and Hospital, Shri Dharmasthala Manjunatheshwara University, Dharwad-580009, Karnataka, India

Abstract

Background & Objectives: Establishing a consensus on the appropriate use of prophylactic antibiotics in elective laparoscopic procedures for benign gynecological conditions would be beneficial. The necessity of preventive antibiotics during laparoscopy for uncomplicated gynecologic conditions is currently being debated. This study aims to ascertain the need for prophylactic antibiotics in preventing early post-surgery infections and febrile morbidity in elective laparoscopic surgery for benign gynecologic conditions.
Materials and methods:  One hundred women who underwent uncomplicated laparoscopic surgeries were studied for four years. Participants were randomly divided into two groups, and demographic data and postoperative outcomes were analyzed. Infections at the surgical site, fever, urinary tract infections, and respiratory infections were the outcomes studied.
Results: The studied variables and the post-operative outcomes assessed did not vary between the two groups.
Conclusion: Routine use of antibiotics in laparoscopic gynecologic surgery may not be necessary, as postoperative infection rates remain low even in cases where antibiotics are not administered.

Highlights

Highlights

 Irrelevant use of prophylactic antibiotics can lead to the evolution of antibiotic resistant bacteria, adverse drug reactions and increased healthcare costs. There is not enough evidence to back the use of antibiotic prophylaxis in gynecologic laparoscopy. Based on our study, administering antibiotics is unnecessary for laparoscopic procedures that do not involve opening the vaginal vault. Therefore, the findings of this research could endorse the established guidelines on implementing antibiotic prophylaxis in gynecological laparoscopy. The authors opine that multicentric large scale studies will provide valuable insights and benefits that can positively impact healthcare professionals and global authorities.

Keywords

Main Subjects

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