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Paper Information

Journal:   RESEARCHER BULLETIN OF MEDICAL SCIENCES (PEJOUHANDEH)   SPRING 2003 , Volume 8 , Number 1 (31); Page(s) 61 To 64.
 
Paper: 

STUDY THE EFFECT OF VAGINAL USAGE OF BETHADINGE GEL IN PREVENTING THE FEVER-RELATED POST ABDOMINAL HYSTERECTOMY COMPLICATIONS

 
 
Author(s):  SHADJOU KH., FADAIAN A.
 
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Abstract: 

Background: Abdominal hysterectomy is one of the most prevalent gynecological surgeries with know complications such as fever. This study was conducted to evaluate the effect of vaginal usage of bethadine gel in preventing the fever-related postabdominal hysterectomy complications.
Materials and methods: In a single blind randomized clinical trial, 118 women aged 30-70 years, candidated for elective abdominal hysterectomy, were sequentially selected. Those who had diabetes mellitus, malignancies and immunodeficiency disorders were excluded. Individuals were randomly assigned in two groups of case (46 females) and control (72 females). Routine surgical prep was performed for both groups. For the case group, 20 ml of bethadine gel was placed in the vaginal apex. 24 hours after the surgery body temperature was determined for all the women. Women with body temperature of>38 degrees centigrade were considered to have fever.
Results: Mean (±SD) age of case and control groups were 44.9±6 and 47.3±7.3 years, respectively (NS). Post-hysterectomy fever was detected in one woman (2%) of the case group and 14 women (19%) of controls (P<0.05). Etiologies of fever in both groups were urinary tract infection, abdominal wall infection, pulmonary infection, thrombophlebitis, in order. The etiology of fever remained unknown in 67% of the patients. Mean days of hospital stay in febrile patients were significantly more than the others (P<0.05).
Conclusion: Results have revealed that using bethadine gel in vaginal apex in effective in controlling the post abdominal hysterectomy complications (fever). However, we require further studies to draw a true preventive picture.

 
Keyword(s): FEVER, ABDOMINAL HYSTERECTOMY
 
References: 
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