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 .
Complications of abdominal and vaginal hysterectomy among women of reproductive age in the United States. The Collaborative Review of Sterilization.
Although hysterectomy was the most frequently performed major surgical procedure among women of reproductive age during the past decade , few recent studies have been conducted to determine the risk of complications . We examined data from the Collaborative Review of Sterilization , a prospect i ve , multicenter , observational study coordinated by the Centers for Disease Control , to assess the comparative risks of complications among women undergoing hysterectomy by the abdominal and vaginal approaches . Between September , 1978 , and August , 1981 , 1,851 women from nine institutions were included in the study . Women who underwent vaginal hysterectomy  experienced significantly fewer complications than women who had undergone  abdominal hysterectomy . The difference was probably attributable to the prevalence and efficacy of prophylactic antibiotic use among the former group . Vaginal hysterectomy was associated with more unintended major surgical procedures but less febrile morbidity , bleeding requiring transfusion , hospitalization , and convalescence than abdominal hysterectomy . Vaginal hysterectomy with prophylactic antibiotics should be strongly considered for those women of reproductive age for whom either surgical approach is clinical ly appropriate
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 .