Gynecologic Laparoscopy: Are Prophylactic Antibiotics Essential? A Randomized Controlled Study

Background & Objective: Establishing a consensus on the appropriate use of prophylactic antibiotics in elective laparoscopic procedures for benign gynecological conditions would be beneficial. The necessity of preventive antibiotics during laparoscopy for uncomplicated gynecologic conditions is currently being debated. This study aims to ascertain the need for prophylactic antibiotics in preventing early post-surgery infections and febrile morbidity in elective laparoscopic surgery for benign gynecologic conditions.Materials & Methods: One hundred women who underwent uncomplicated laparoscopic surgeries were studied for four years. Participants were randomly divided into two groups, and demographic data and postoperative outcomes were analyzed. Infections at the surgical site, fever, urinary tract infections, and respiratory infections were the outcomes studied.Results: The studied variables and the post-operative outcomes assessed did not vary between the two groups.Conclusion: Routine use of antibiotics in laparoscopic gynecologic surgery may not be necessary, as postoperative infection rates remain low even in cases where antibiotics are not administered.

کلیدواژه ها:

Antibiotic Prophylaxis ، laparoscopy ، Gynecological Surgery ، Febrile Morbidity ، Urinary tract infections ، Postoperative Outcomes