Comparison Of Postoperative Surgical Site Infections in Laparoscopic and Open Hysterectomy

Objectives: Hysterectomy is one of the most frequently performed surgical operations in gynecology clinics and is carried out through either laparoscopic or open surgery. Surgical site infections are among the significant and common complications in this procedure. Antibiotics are one of the most important factors in reducing the risk of surgical site infections after hysterectomy. Study Design: This study was conducted on patients who underwent laparoscopic and open hysterectomy due to benign pathologies. Both surgical methods were examined in terms of postoperative infectious complications and the antibiotic treatments applied retrospectively. Results: The study was conducted on a total of 111 patients. Surgical site infection, surgery duration, rehospitalization, and oral antibiotic usage rates were found to be lower in patients who underwent laparoscopic surgery compared to open surgery. Infectious complication rates were detected at a higher rate in obese patients, diabetic patients, and patients with long surgery and hospital stay durations. (p<0.05) Conclusions: Laparoscopic hysterectomy has significant advantages such as lower surgical site infections, and consequently, shorter hospital stays, lower nosocomial infection rates, reduced antibiotic usage, and lower treatment costs.