Postoperative wound infection after total abdominal hysterectomy: a controlled study of the increased duration of hospital stay and trends in postoperative wound infection

Am J Infect Control. 1993 Aug;21(4):201-4. doi: 10.1016/0196-6553(93)90032-y.


Background: Total abdominal hysterectomy, a common operative procedure, is infrequently accompanied by incisional wound infection. No recent study has examined the excess hospital stay attributable to such infections.

Methods: This historical cohort study of cases and matched controls was performed in a tertiary care university hospital.

Results: During the 5-year study period (1985 to 1989), the infection rate was 10.5 per 100 procedures; patients with infection remained hospitalized 3.55 days longer than did matched control patients (p = 0.0025).

Conclusion: In this era after the introduction of the diagnosis-related groups for reimbursement, incisional wound infection after total abdominal hysterectomy leads to a significant period of extra hospital stay.

Publication types

  • Clinical Trial

MeSH terms

  • Adult
  • Aged
  • Cohort Studies
  • Female
  • Hospital Bed Capacity, 500 and over
  • Hospitals, University / statistics & numerical data
  • Humans
  • Hysterectomy* / adverse effects
  • Iowa / epidemiology
  • Length of Stay / trends*
  • Middle Aged
  • Population Surveillance
  • Surgical Wound Infection / epidemiology*