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- W2980493788 abstract "Study Objective To determine the association between asymptomatic bacterial vaginosis (BV) and surgical site infection (SSI) in women undergoing robotic or laparoscopic total hysterectomy for benign disease Design Prospective cohort Setting Academic hospital Patients or Participants Women ages 18-75 years old undergoing total robotic or laparoscopic hysterectomy for benign gynecologic disease Interventions BD Affirm vaginal swab was used to test for the presence of BV. The sample was collected in the operating room after induction of anesthesia and prior to standard Betadine vaginal prep. Measurements and Main Results Patients were followed over the course of a 12 week post-operative period to observe for SSI. SSI was defined as vaginal cuff cellulitis, pelvic abscess, pelvic hematoma and vaginal cuff dehiscence. Among the 20 women enrolled in the cohort, there is a 40% prevalence of asymptomatic BV. There has been 1 case of vaginal cuff dehiscence in a woman who tested negative for BV. At present, the enrollment numbers are too small to calculate a statistical difference between post-operative outcomes in women with asymptomatic BV versus women who tested negative. Conclusion 8/20 (40%) of asymptomatic women in our study tested positive for BV prior to surgery. Our numbers are too small to state any conclusions, but the BV rate in this cohort appears high. Overall adverse outcomes after minimally invasive hysterectomy are rare. We hope to gather more data as enrollment continues as a means to confirm pre-operative guidelines regarding the management of BV prior to minimally invasive hysterectomy." @default.
- W2980493788 created "2019-10-25" @default.
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- W2980493788 date "2019-11-01" @default.
- W2980493788 modified "2023-09-27" @default.
- W2980493788 title "1401 Is Asymptomatic Bacterial Vaginosis a Risk Factor for Surgical Site Infection (SSI) in Women Undergoing Minimally Invasive Hysterectomy?" @default.
- W2980493788 doi "https://doi.org/10.1016/j.jmig.2019.09.208" @default.
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