Table of Contents Author Guidelines Submit a Manuscript
Infectious Diseases in Obstetrics and Gynecology
Volume 2015, Article ID 614950, 8 pages
http://dx.doi.org/10.1155/2015/614950
Review Article

Pelvic Surgical Site Infections in Gynecologic Surgery

1Department of Gynecology and Obstetrics, Emory University School of Medicine, 1639 Pierce Drive, 4th Floor WMB, Atlanta, GA 30322, USA
2Cleveland Clinic Foundation, Women’s Health Institute, Cleveland, OH, USA

Received 19 October 2014; Revised 31 December 2014; Accepted 18 January 2015

Academic Editor: Per Anders Mardh

Copyright © 2015 Mark P. Lachiewicz et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The development of surgical site infection (SSI) remains the most common complication of gynecologic surgical procedures and results in significant patient morbidity. Gynecologic procedures pose a unique challenge in that potential pathogenic microorganisms from the skin or vagina and endocervix may migrate to operative sites and can result in vaginal cuff cellulitis, pelvic cellulitis, and pelvic abscesses. Multiple host and surgical risk factors have been identified as risks that increase infectious sequelae after pelvic surgery. This paper will review these risk factors as many are modifiable and care should be taken to address such factors in order to decrease the chance of infection. We will also review the definitions, microbiology, pathogenesis, diagnosis, and management of pelvic SSIs after gynecologic surgery.