Comparison of the effectiveness of povidone-iodine douching and painting for reducing febrile morbidity after total abdominal hysterectomy

Total abdominal hysterectomy (TAH) is the most common gynecologic operation worldwide. The two most common complications after TAH are febrile and infectious morbidities, incidence varying between 5 and 50 percent. After performing TAH, vaginal canal must be breached and closed to be blind-pouch stump. Routing vaginal douching at the night before and on the morning of the surgical date, and intra-operative painting are routinely practiced. However, no good quality of evidence base supports the effectiveness of vaginal douching and painting in preventing febrile and infectious morbidities after TAH.

Inclusion Criteria:

• Women who undergoing total abdominal hysterectomy
• Woman who agrees to participate in this study

Exclusion Criteria:

• Women with history of sea-food or iodine allergy
• Women who undergo emergency TAH
• Women who have intestinal resection in this operation
• Women who have active pelvic inflammatory disease before operation
• Women who have fever before operation
• Women who received antibiotic within 1 weeks before operation
• Women who be immunocompromised host