Risk Factors Related to Febrile Morbidity after Abdominal Hysterectomy
Ekachai Kovavisarach MD*, Oranooch Siriwong MD*
Affiliation : * Department of Obstetrics and Gynecology, Rajavithi Hospital, College of Medicine, Rangsit University, Bangkok, Thailand
Objective : To assess risk factors related to febrile morbidity (FM) after abdominal hysterectomy for non- malignant diseases.
Material and Method: Retrospective review and analysis of the data was carried out on the medical records of patients who
had undergone total abdominal hysterectomy (TAH) with or without bilateral salpingo-oophorectomy (BSO) for non-malignant
gynecological diseases during the period of January 1, 2006 to July 31, 2007. Patients who had had fever before surgery, had
been treated with antibiotics within 1 week prior to surgery, had an emergency operation or incomplete data were excluded.
Results : FM was found in 47 of the 450 patients (10.4%) and unexplained fever was the most common cause of febrile
morbidity. Type of operation, operative time, estimated blood loss, indication for surgery, antibiotic therapy use, and surgeons’
skill were all statistically significant risk factors when univariate analysis was used. After multiple logistic regressions were
analyzed, however, only type of operation and skill of surgeons were still significant risk factors.
Conclusion : The significant risk factors related to febrile morbidity were type of operation, and surgeons’ skill.
Keywords : Febrile morbidity, Total abdominal hysterectomy, Non-malignant diseases
