Vaginal Douching and Painting in Women Who Underwent Total Abdominal Hysterectomy

Rajavithi Hospital

Status: Completed

Conditions: Febrile Morbidity

Treatments: Procedure: Vagina douching; Procedure: Vagina painting

Study type: Interventional

Funder types: Other

Identifiers

NCT03537313

RJVAG001

Details and patient eligibility

About

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

Full description

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.

Enrollment: 300 patients

Sex: Female

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

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

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Factorial Assignment

Masking: Single Blind

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300 participants in 4 patient groups

Control-douching group

No Intervention group

Description:

No preoperative vagina douching

Control-painting group

No Intervention group

Description:

No intra-operative vagina painting

Vaginal douching group

Experimental group

Description:

Preoperative vaginal douches with povidone-iodine solution

Treatment:

Procedure: Vagina douching

Vaginal painting group

Experimental group

Description:

Intra-operative vaginal painting with povidone-iodine solution

Treatment:

Procedure: Vagina painting