[Study on the possibility of bacterial infection through pelvic suction drainage via the vagina set after radical hysterectomy].
This study was aimed at clarifying the possibility of bacterial infection through pelvic drainage via the vagina set in the bilateral dead spaces created by radical hysterectomy with lymphnode dissection. Thirty seven patients with uterine cancer underwent radical hysterectomy with lymphnode dissection. Four patients with uterine cancer underwent modified-radical hysterectomy with lymphnode dissection. Silicon suction drains were set in the bilateral dead spaces via the vagina for 3 days. Exudate from the vaginal vault and exudate from each dead space collected aseptically and cultured under aerobic or anaerobic conditions, and the bacterial species were isolated and identified. Bacterial species were found in 75.6% of the vaginal vaults, 42.5% of the right dead spaces and 33.3% of the left dead spaces. When these bacterial species were isolated and identified from dead spaces, it was discovered that the same bacterial species were found in 76.5% of the right dead spaces as in the vaginal vaults and 90.9% in case of the left dead spaces. These results suggest that the pelvic suction catheter introduced via the vagina acts as a vehicle of bacterial infection.
Department of Obstetrics and Gynecology, National Osaka Hospital.
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H
Kobayashi
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M
Ozawa
D000328:Adult; D000368:Aged; D001419:Bacteria / Q000302:isolation & purification; D001424:Bacterial Infections / Q000209:etiology* / Q000382:microbiology; D005122:Exudates and Transudates / Q000382:microbiology; D005260:Female; D006801:Humans; D007044:Hysterectomy; D008875:Middle Aged; D010388:Pelvis; D011183:Postoperative Complications / Q000209:etiology* / Q000382:microbiology; D013396:Suction / Q000009:adverse effects*; D014594:Uterine Neoplasms / Q000601:surgery; D014621:Vagina