Reduction of aseptic measures in gynecologic endoscopy: a comparative clinical trial.
OBJECTIVE
A prospective comparative clinical study was conducted on 200 patients to evaluate the consequences of minimizing the following standard hygienic measures in gynecologic laparoscopy: surgical scrub, patient draping, surgical gowns.


METHODS
A group of 100 patients treated according to maximum hygienic protocol was compared to a group of 100 patients undergoing laparoscopic procedures with only limited aseptic precautions. Clinical control parameters were perioperative temperature and white blood cell count up to the 4th postoperative day. Furthermore, patients and their gynecologists were interviewed 2-4 weeks after surgery to rule out any delayed manifestation of an infection.


RESULTS
Perioperative infection was low in both groups.


CONCLUSIONS
As we found no significant difference between the two collectives' control parameters, we conclude that a reduction in perioperative hygiene seems feasible for certain laparoscopic procedures. However, a larger collective should be studied in order to confirm this action.
Aydeniz
B
B
Department of Gynecology, University of Tuebingen, Germany.
Meyer
A
A
Geiss
H K
HK
Grischke
E M
EM
Genditzki
H
H
Merkle
E M
EM
Bastert
G
G
Wallwiener
D
D
D000328:Adult; D001424:Bacterial Infections / Q000517:prevention & control*; D005260:Female; D006801:Humans; D006920:Hygiene; D010535:Laparoscopy; D011183:Postoperative Complications / Q000517:prevention & control*; D011446:Prospective Studies