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Preoperative Vaginal Preparations for Abdominal Hysterectomy for the Prevention of Febrile Morbidity: Savlon Douching vs Povidone-iodine Painting


Kullathida Sowapat MD*,
Sukree Soontrapa MD*, Chuanchom  Sakondhavat MD*

* Department of Obstetrics and Gynecology, Faculty of Medicine, Khon Kaen University, Khon Kaen


Objective: To compare the effectiveness between savlon solution was douching and povidone-iodine solution painting for reducing febrile morbidity after total abdominal hysterectomy.
Study design: Clinical trial.
Material and Method: One hundred and fifty patients at Srinagarind Hospital were scheduled for total abdominal hysterectomy (TAH). All subjects were non-randomly allocated to receive either savlon (1:1000 solutions) douching or povidone-iodine (1% solution) painting as pre-operative vaginal preparations. They also received Cefazolin 1 gm. intravenously before the operation. The principal outcome of the study was febrile morbidity.
Results: The overall rate of febrile morbidity was 21 percent. The incidence of febrile morbidity in the savlon vs. povidone-iodine groups was 16 (12/75) and 25 (19/75) percent, respectively. No statistically significant difference was found between the two groups (p-value = 0.16). The odds ratio was 1.78 (95%CI 0.79 to 3.99) and adjusted odds ratio was 2.09(95%CI 0.86 to 5.10)
Conclusion: The effectiveness between savlon solution douching and povidone-iodine solution painting in conjunction with a prophylactic antibiotic before TAH for reducing febrile morbidity was not significant different.

Keyword : Vaginal preparation, Total abdominal hysterectomy, Febrile morbidity

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