In this study, a prospective, randomized, non-blinded report, single dose carbenicillin prophylaxis preoperatively is compared with T-tube suction drainage postoperatively in 50 patients undergoing vaginal hysterectomy. A higher incidence of febrile morbidity, fever index units, cellulitis of the vaginal cuff and prolonged hospitalization postoperatively was experienced by the group patients with T-tube suction drainage, P less than 0.05. Our satisfactory results with single dose carbenicillin prophylaxis preoperatively are similar to those of previous studies using more extended antibiotic prophylaxis perioperatively.
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