PURPOSE: This study was undertaken to evaluate risk factors for the occurrence of postoperative abscesses in a large single-institution series of gynecologic cancer patients undergoing major surgery. MATERIALS AND METHODS: Patients admitted to the Division of Gynecologic Oncology, Catholic University of Sacred Hearth, Rome, Italy, between January 2008 and February 2009, were retrospectively analyzed. The occurrence of pelvic abscesses was identified by sign and symptoms and confirmed with radiological and microbiological examinations. RESULTS: A total of 360 patients were analyzed for the study. Exenteration and use of fibrillar absorbable hemostat were significantly associated with the presence of postoperative abscesses (P < .0001) by multiple regression analysis, whereas operative time, type of surgery, lymphadenectomy, or other associated surgical procedures failed to result statistically relevant. CONCLUSIONS: The use of fibrillar oxidized regenerated cellulose as hemostatic agent may represent a risk factor for postoperative abscesses, especially when used during pelvic exenteration.
PURPOSE: This study was undertaken to evaluate risk factors for the occurrence of postoperative abscesses in a large single-institution series of gynecologic cancerpatients undergoing major surgery. MATERIALS AND METHODS:Patients admitted to the Division of Gynecologic Oncology, Catholic University of Sacred Hearth, Rome, Italy, between January 2008 and February 2009, were retrospectively analyzed. The occurrence of pelvic abscesses was identified by sign and symptoms and confirmed with radiological and microbiological examinations. RESULTS: A total of 360 patients were analyzed for the study. Exenteration and use of fibrillar absorbable hemostat were significantly associated with the presence of postoperative abscesses (P < .0001) by multiple regression analysis, whereas operative time, type of surgery, lymphadenectomy, or other associated surgical procedures failed to result statistically relevant. CONCLUSIONS: The use of fibrillar oxidized regenerated cellulose as hemostatic agent may represent a risk factor for postoperative abscesses, especially when used during pelvic exenteration.
Authors: John A Harris; Anne G Sammarco; Carolyn W Swenson; Shitanshu Uppal; Neil Kamdar; Darrel Campbell; Sarah Evilsizer; John O DeLancey; Daniel M Morgan Journal: Am J Obstet Gynecol Date: 2017-01-09 Impact factor: 8.661
Authors: John A Harris; Shitanshu Uppal; Neil Kamdar; Carolyn W Swenson; Darrell Campbell; Daniel M Morgan Journal: Int J Gynaecol Obstet Date: 2016-11-16 Impact factor: 3.561
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Authors: Traci E Ito; Alexandra L Martin; Edith F Henderson; Jeremy T Gaskins; Vida M Vaughn; Shan M Biscette; Resad P Pasic Journal: JSLS Date: 2018 Oct-Dec Impact factor: 2.172