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Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.
Original Research
Vaginal preparation with povidone-iodine before abdominal hysterectomy
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1
Department of Obstetrics and Gynecology, The Sackler Faculty of Medicine, Tel-Aviv University, The Edith Wolfson Medical Center, Holon 58100 (Israel)
Clin. Exp. Obstet. Gynecol. 1987, 14(1), 1–5;
Published: 10 March 1987
Abstract
Two groups of women were prepared before total abdominal hysterectomy. The first by povidone-iodine tampons that remained in the vagina until the end of the operation, the second group by administration of a prophylactic antibiotic. We found statistically significant decreases both in infectious morbidity an in the percentage of positive cultures from the cervix and vagina, at the time of the operation in the povidone-iodine group as compared with the antibiotic group. Therefore, it is our impression that prophylactic antibiotic therapy for patients undergoing abdominal hysterectomy should be reserved for the patient with compromised defence mechanisms if it is used at all, and recommend local preparation of the vagina with povidone-iodine as an effective alternative.