For Gynecologic Laparoscopies, Effective Surgical-Site Antisepsis Remains a Priority

In a randomized trial of three commonly used methods for surgical site preparation, none conferred any advantage for preventing infection.

Laparoscopic procedures for benign gynecologic conditions are increasingly common, but the best way to prepare the surgical site to prevent infections remains unknown. Investigators at an Australian university-affiliated center conducted a randomized, double-blind trial of three antiseptic protocols for preoperative skin preparation: alcohol-chlorhexidine solution (abdominal) plus aqueous chlorhexidine solution (vaginal and vulvar); aqueous povidone-iodine solution (abdominal, vaginal, and vulvar), and alcohol-povidone-iodine solution (abdominal) plus aqueous povidone-iodine solution (vaginal and vulvar). Patients received 2 g cefazolin before skin incision and, if any cavities (i.e., vagina, uterus, or bowel) were or might be breached, 500…

Reviewing Author

Robert W. Rebar, MD

Disclosures

Consultant/Advisory BoardMyovant Sciences, Inc.

Editorial BoardsEndoText; Clinical OB/GYN Alert

Leadership Positions in Professional SocietiesAmerican Society for Reproductive Medicine (Member, Ethics Committee)

Robert W. Rebar, MD

Disclosures

Consultant/Advisory BoardMyovant Sciences, Inc.

Editorial BoardsEndoText; Clinical OB/GYN Alert

Leadership Positions in Professional SocietiesAmerican Society for Reproductive Medicine (Member, Ethics Committee)

For Gynecologic Laparoscopies, Effective Surgical-Site Antisepsis Remains a Priority

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Reviewing Author