Official Title
Antibiotic Prophylaxis in Gynecologic Laparoscopy
Phase
N/ALead Sponsor
Universidade do Vale do SapucaiStudy Type
InterventionalStatus
Completed No Results PostedIndication/Condition
Infection Secondary to Surgical ProcedureIntervention/Treatment
cefazolin ...Study Participants
114Laparoscopy is a surgical procedure indicated for most gynecological pathologies and presents numerous advantages over laparotomy, among them lower rates of surgical site infection and less comorbidity feverish. Despite this, the use of antibiotic prophylaxis is widely accepted and performed by most gynecologists. However, there isn't literature evidence to support the routine use of antibiotics in the prophylaxis of wound infection on laparoscopic pelvic surgery .Therefore, this study will evaluate the need for the use of antibiotic prophylaxis in gynecological laparoscopies not including opening hollow viscera.
It is a clinical, prospective, double-blind, randomized study. 114 women with gynecologic disease, in which there is indication of laparoscopic surgical approach, will be consecutively select. These women will be allocated in two arms, control and study, where control group will use placebo and study will receive intravenous cephazolin. These patients will be followed for 30 days according to Centers for Disease Control and Prevention criteria.
Intravenous administration of 1 g of cefazolin
Intravenous administration of saline sterile solution
Gynecological laparoscopy without opening hollow viscera.
Patients in this arm will receive intravenous sterile saline 30 minutes before the gynecologic laparoscopy.
Patients in this arm will receive intravenous cephazolin 1g, 30 minutes before the gynecologic laparoscopy.
Inclusion Criteria: patients with gynecologic disease, undergoing gynecologic laparoscopy without opening hollow viscera. Exclusion Criteria: body mass index over 30 Kg/m2 smoking diabetes type I or II with glycated hemoglobin exceeding 6.5% patients who are at surgical risk classification of the American Society of Anesthesiologists(ASA) as ASA III or higher refusal to participate postoperative antibiotic therapy for another indication clinical complication