Abstract
In a ten year period we selected at random 235 patients, who underwent a vaginal or abdominal hysterectomy or a radical operation (Latzko-Meigs) and evaluated their postoperative morbidity with special regard to urinary tract infections. In the period of 1971 to 1979 we observed a significant increase of urinary tract infections following vaginal hysterectomy, especially after additional colporrhaphia, as well as a significant increase of febrile postoperative phases after radical hysterectomy. Also a shift towards so called "nosocomial bacteria" (Klebsiella, Aerobacter and Pseudomonas) was observed. We therefore changed our perioperative management of Latzko-Meigs operation (closed urine catheter system, perioperative antibiotic prophylaxis). The comparison of the groups before and after this change show a significant decrease of all signs of postoperative morbidity observed.
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