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 .
Short course of prophylactic antibiotics in laparoscopically assisted vaginal hysterectomy.
OBJECTIVE To evaluate whether a short course of prophylactic antibiotics is as efficacious as a longer course in laparoscopically assisted vaginal hysterectomy ( LAVH ) . STUDY DESIGN A total of 156 patients who underwent LAVH were included in the study ; 82 received a long course of combined prophylactic antibiotics  , and 74 received a short course , administered for < 24 hours during the perioperative period . The subjects were r and omly assigned using a computer-generated schedule . Data regarding re source consumption were collected from the hospital 's electronic data base . Patient characteristics and medical care process data were collected from the patient charts . Student 's t test was used to determine the statistical significance of the differences between continuous variables in the 2 groups of patients . The chi2 test was used to measure the statistical significance of differences between nominal variables in the 2 groups . RESULTS The short course significantly influenced the number of injected vials of antibiotics , the antibiotic fee and the total admission fee . The average total admission fee decreased by 2.3 % ( p = 0.034 ) , and the average antibiotic-fee dropped by 68.4 % ( p < 0.01 ) . The average injected vials of cephalothin  decreased by 4.3 , and the vials of gentamycin decreased by 3.3 ( p < 0.01 ) . As for the rate of operative site infection and urinary tract infection during hospitalization and within 7 days of discharge , no statistical differences were found between the 2 groups ( p = 0.735 ; p = 0.917 ) . CONCLUSION This pilot study revealed that a short course of prophylactic antibiotics was as efficacious as a longer course in preventing postoperative infection . It was also cost-effective
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 .