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Risk Factors for Surgical Site Infection After Hysterectomy

Purpose: To identify risk factor for surgical site infection (SSI) following hysterectomy based on the study of Lake et al.

Description

Lake et al identified risk factors associated with surgical site infection (SSI) after a hysterectomy. These can help to identify a patient who may benefit from more aggressive management. The authors are from Yale University in New Haven, Connecticu.


Patient selection: hysterectomy

 

Risk factors for superficial SSI (cellulitis):

(1) laparotomy

(2) prolonged operative time (> 75th percentile)

(3) ASA class 3, 4 or 5

(4) body mass index >= 40 kg per square meter

(5) diabetes mellitus

 

A total vaginal hysterectomy (TVH) was associated with the lowest rate of superficial SSI. Laparoscopy was associated with a rate of superficial SSI between laparotomy and TVH.

 

Risk factors for deep or organ site SSI:

(1) ASA classs 3, 4 or 5

(2) current smoker

(3) history of cerebrovascular accident (stroke) with neurologic deficit

(4) preoperative anemia (hematocrit < 36%)

(5) body mass index >= 40 kg per square meter


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Specialty

Objective

ICD-10