Wound infection after abdominal hysterectomy: effect of the depth of subcutaneous tissue

Article Abstract:

The likelihood of wound infection after abdominal hysterectomy appears to be correlated with the thickness of the tissue beneath the skin. Records of 150 patients having abdominal hysterectomies were reviewed. None had received preventative antibiotic treatment. Eleven percent of the women had wound infections, which is average for this type of surgery. Among the factors studied, only the thickness of the subcutaneous tissue beneath the skin was correlated with wound infection. All infections occurred in women with subcutaneous thicknesses of 3 centimeters (cm) or more. Despite this, calculations show that only 15% of women with subcutaneous thicknesses of 3 cm or more will develop wound infections, so this measurement does not make a useful predictive factor. Thick layers of subcutaneous tissue may have poor circulation, which would delay wound healing.

Complications and side effects, Risk factors, Physiological aspects, Surgical wound infections, Tissues, Tissues (Anatomy), Hysterectomy

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The routine use of cystoscopy with the Burch procedure

Article Abstract:

It may not be necessary to use pre- or post-operative cystoscopy on patients who have the Burch procedure to correct stress urinary incontinence. Cystoscopy is a minimally invasive technique for examining the bladder. In a study of 181 women, only six had an injury to the lower urinary tract and none of the injuries were caused by the Burch procedure.

Injuries, Urinary stress incontinence, Urinary organs, Urinary tract

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The role of intraoperative cystoscopy in prolapse and incontinence surgery

Article Abstract:

An imaging technique to identify bladder abnormalities should be performed on all women scheduled for surgery for urinary incontinence or pelvic organ prolapse. Gynecologic surgery can damage the bladder so it is important to identify any bladder abnormalities before surgery to avoid further damage.

Medical examination, Urinary incontinence, Bladder

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