Results Prophylactic antibiotics  prevent inflammatory complications after gynaecological surgery .
Prophylactic antibiotics are more effective in surgery requiring access to the peritoneal cavity or the vagina .
Cefotetan appears to be more capable in preventing the overall inflammatory complication rate than cefoxitin or cefazolin .
No benefit has been shown for the combination of antibiotics as prophylaxis .
No difference has been shown between the long-term and short-term use of antibiotics .
There is no need for the primary use of an anaerobic antibacterial agent .
Conclusion Antibiotics help to prevent postoperative inflammatory complications after major gynecologic surgeries
Purpose The aim of this study was to systematic ally review the literature on antibiotic prophylaxis in gynaecologic surgeries to prevent inflammatory complications after gynaecological operations .
Laparoscopically assisted vaginal hysterectomy versus abdominal hysterectomy in stage I endometrial cancer
Abstract .Fram KM . Laparoscopically assisted vaginal hysterectomy versus abdominal hysterectomy in stage I endometrial cancer . The purpose of this study was to evaluate and compare laparoscopic treatment for stage I endometrial cancer with the traditional transabdominal approach . From July 1996 to July 1998 , 61 patients with clinical stage I endometrial cancer were treated at the Gynaecology Oncology Unit at the Royal North Shore of Sydney , Australia . Twenty-nine patients were treated with laparoscopic assisted vaginal hysterectomy ( LAVH ) and bilateral salpingo-oophrectomy ( BSO ) ± laparoscopic pelvic lymphadenectomy ( LPLA ) , while 32 patients were treated with the traditional laparotomy and underwent total abdominal hysterectomy ( TAH ) and BSO ± pelvic lymphadenectomy ( PLA ) . The main outcomes studied were operative time , blood loss , blood transfusion , intraoperative complications , postoperative complications , duration of hospital stay , and number of lymph nodes obtained . In conclusion , laparoscopic treatment of endometrial cancer is safe in the h and s of experienced operators with minimal intraoperative and postoperative complications . This procedure is associated with significantly less blood loss and shorter hospitalization ; however , it is associated with significantly longer operating time . Proper selection of patients for the laparoscopic procedure is the vital step in achieving the major goals of this approach
Results Prophylactic antibiotics  prevent inflammatory complications after gynaecological surgery .
Prophylactic antibiotics are more effective in surgery requiring access to the peritoneal cavity or the vagina .
Cefotetan appears to be more capable in preventing the overall inflammatory complication rate than cefoxitin or cefazolin .
No benefit has been shown for the combination of antibiotics as prophylaxis .
No difference has been shown between the long-term and short-term use of antibiotics .
There is no need for the primary use of an anaerobic antibacterial agent .
Conclusion Antibiotics help to prevent postoperative inflammatory complications after major gynecologic surgeries
Purpose The aim of this study was to systematic ally review the literature on antibiotic prophylaxis in gynaecologic surgeries to prevent inflammatory complications after gynaecological operations .