Rajiv Mahendru
BPS Govt Medical college for Women, india
Title: PREOPERATIVE VAGINAL DOUCHING PRIOR TO ABDOMINAL HYSTERECTOMY: POVIDONE IODINE versus SALINE
Biography
Biography: Rajiv Mahendru
Abstract
OBJECTIVE: To compare the effectiveness of preoperative vaginal preparation with saline and povidone iodine on postoperative infectious morbidity after total abdominal hysterectomy .
STUDY DESIGN: Randomized controlled trial consisting of 191 patients allocated into two groups: Group I and Group II of 94 and 97 patients, respectively
MATERIAL AND METHODS: Preoperative vaginal douching 12 hours before the surgery was done with 1 % povidone iodine for patients in group I and with normal saline for patients in group II. The main outcome measure was infectious morbidity within 6-8 weeks postoperatively requiring additional antibiotics, prolonged hospital stay or readmission.
RESULTS: The relative risk for infectious morbidity in group A was less compared to group II (8% vs 22% ). The mean duration of hospital stay was also less in Group I.
CONCLUSION: Preoperative vaginal douching with 1 % povidone iodine significantly reduces infectious morbidities after abdominal hysterectomy in immediate postoperative period as compared to vaginal douching with saline.