Risk of postoperative pelvic abscess in major gynecologic oncology surgery

One-year single-institution experience

Anna Fagotti, Barbara Costantini, Francesco Fanfani, Giuseppe Vizzielli, Cristiano Rossitto, Antonella Lecca, Giovanni Scambia

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

Purpose: This study was undertaken to evaluate risk factors for the occurrence of postoperative abscesses in a large single-institution series of gynecologic cancer patients undergoing major surgery. Materials and Methods: Patients admitted to the Division of Gynecologic Oncology, Catholic University of Sacred Hearth, Rome, Italy, between January 2008 and February 2009, were retrospectively analyzed. The occurrence of pelvic abscesses was identified by sign and symptoms and confirmed with radiological and microbiological examinations. Results: A total of 360 patients were analyzed for the study. Exenteration and use of fibrillar absorbable hemostat were significantly associated with the presence of postoperative abscesses (P <.0001) by multiple regression analysis, whereas operative time, type of surgery, lymphadenectomy, or other associated surgical procedures failed to result statistically relevant. Conclusions: The use of fibrillar oxidized regenerated cellulose as hemostatic agent may represent a risk factor for postoperative abscesses, especially when used during pelvic exenteration.

Original languageEnglish
Pages (from-to)2452-2458
Number of pages7
JournalAnnals of Surgical Oncology
Volume17
Issue number9
DOIs
Publication statusPublished - Sep 2010

Fingerprint

Gynecologic Surgical Procedures
Abscess
oxidized cellulose
Pelvic Exenteration
Hemostatics
Operative Time
Lymph Node Excision
Italy
Signs and Symptoms
Regression Analysis
Neoplasms

ASJC Scopus subject areas

  • Surgery
  • Oncology

Cite this

Fagotti, A., Costantini, B., Fanfani, F., Vizzielli, G., Rossitto, C., Lecca, A., & Scambia, G. (2010). Risk of postoperative pelvic abscess in major gynecologic oncology surgery: One-year single-institution experience. Annals of Surgical Oncology, 17(9), 2452-2458. https://doi.org/10.1245/s10434-010-1059-3

Risk of postoperative pelvic abscess in major gynecologic oncology surgery : One-year single-institution experience. / Fagotti, Anna; Costantini, Barbara; Fanfani, Francesco; Vizzielli, Giuseppe; Rossitto, Cristiano; Lecca, Antonella; Scambia, Giovanni.

In: Annals of Surgical Oncology, Vol. 17, No. 9, 09.2010, p. 2452-2458.

Research output: Contribution to journalArticle

Fagotti, A, Costantini, B, Fanfani, F, Vizzielli, G, Rossitto, C, Lecca, A & Scambia, G 2010, 'Risk of postoperative pelvic abscess in major gynecologic oncology surgery: One-year single-institution experience', Annals of Surgical Oncology, vol. 17, no. 9, pp. 2452-2458. https://doi.org/10.1245/s10434-010-1059-3
Fagotti, Anna ; Costantini, Barbara ; Fanfani, Francesco ; Vizzielli, Giuseppe ; Rossitto, Cristiano ; Lecca, Antonella ; Scambia, Giovanni. / Risk of postoperative pelvic abscess in major gynecologic oncology surgery : One-year single-institution experience. In: Annals of Surgical Oncology. 2010 ; Vol. 17, No. 9. pp. 2452-2458.
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