Feasibility and perioperative safety of hysterectomy within 24 hours after cervical LEEP
Objective To investigate the feasibility and perioperative safety of hysterectomy within 24 hours after cervical LEEP.Methods The clinical data of 182 patients who underwent LEEP and further hysterectomy in Gansu Province Maternity and Child-care Hospital from December 2013 to August 2018 were retrospectively analyzed.According to the different time intervals of hysterectomy after LEEP,the patients were divided into group A(≤24 hours group):104 cases,group B(24 hours～6 weeks group):45 cases,and group C(>6 weeks group):33 cases.The perioperative indicators of three groups of patients were statistically analyzed.Results The surgical time in group A was shorter than that in group B and group C[(118.01±76.07)vs.(154.93±90.23)vs.(151.73±89.03)min];The postoperative hospitalization stay in group A and group C was shorter than that in group B[(7.29±4.13)vs.(7.39±3.03)vs.(9.18±4.31)d];The number of postoperative antibiotic use in group A was lower than in group B(4.5 vs.8)times.All these differences were statistically significant(P<0.05).There were no statistically significant differences in intraoperative blood loss and surgical approach among the three groups(P>0.05).Conclusions Hysterectomy less than 24 hours after LEEP has shorter operation time and postoperative hospital stay,less antibiotic use,and no significant effect on complications and postoperative fever rate.
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