Format

Send to

Choose Destination
Fertil Steril. 1999 Jul;72(1):104-8.

Myomectomy fever: testing the dogma.

Author information

1
Tufts University School of Medicine and New England Medical Center, Massachusetts General Hospital, Boston 02111, USA.

Abstract

OBJECTIVE:

To test the hypothesis that elevated temperature is more common after abdominal myomectomy than after hysterectomy.

DESIGN:

Retrospective cohort study.

SETTING:

Academic medical center.

PATIENT(S):

One hundred one women who underwent abdominal myomectomy and 160 women who underwent total abdominal hysterectomy for benign disease from 1988-1993.

INTERVENTION(S):

Abdominal myomectomy.

MAIN OUTCOME MEASURE(S):

Temperature of > or = 38.5 degrees C within 48 hours after operation.

RESULT(S):

Although univariate analysis showed that the incidence of elevated temperature was slightly greater among patients who underwent myomectomy (33% versus 26%, relative risk 1.29, 95% confidence interval 0.88-1.90), multivariate logistic regression analysis showed a 3.29 relative risk of elevated temperature (95% confidence interval 1.56-6.96) with myomectomy after controlling for age, parity, estimated blood loss, and treatment by the general gynecology service.

CONCLUSION(S):

After controlling for confounders, myomectomy was found to be an independent predictor for fever in the first 48 hours after operation.

PMID:
10428156
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center