Myomectomy fever: testing the dogma.
OBJECTIVE
To test the hypothesis that elevated temperature is more common after abdominal myomectomy than after hysterectomy.


METHODS
Retrospective cohort study.


METHODS
Academic medical center.


METHODS
One hundred one women who underwent abdominal myomectomy and 160 women who underwent total abdominal hysterectomy for benign disease from 1988-1993.


METHODS
Abdominal myomectomy.


METHODS
Temperature of > or = 38.5 degrees C within 48 hours after operation.


RESULTS
Although univariate analysis showed that the incidence of elevated temperature was slightly greater among patients who underwent myomectomy (33% versus 26%, relative risk 1.29, 95% confidence interval 0.88-1.90), multivariate logistic regression analysis showed a 3.29 relative risk of elevated temperature (95% confidence interval 1.56-6.96) with myomectomy after controlling for age, parity, estimated blood loss, and treatment by the general gynecology service.


CONCLUSIONS
After controlling for confounders, myomectomy was found to be an independent predictor for fever in the first 48 hours after operation.
Iverson
R E
RE
Tufts University School of Medicine and New England Medical Center, Massachusetts General Hospital, Boston 02111, USA.
Chelmow
D
D
Strohbehn
K
K
Waldman
L
L
Evantash
E G
EG
Aronson
M P
MP
D000328:Adult; D015331:Cohort Studies; D005260:Female; D005334:Fever / Q000453:epidemiology* / Q000209:etiology*; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects*; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects; D015994:Incidence; D007889:Leiomyoma / Q000601:surgery*; D016015:Logistic Models; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology*; D012189:Retrospective Studies; D012307:Risk Factors; D014594:Uterine Neoplasms / Q000601:surgery*