Risk factors for surgical site infections following microwave ablation of the uterus: a retrospective cohort study

Abstract Purpose As microwave ablation (MWA) becomes an increasingly popular treatment for gynecological diseases, complications such as surgical site infections (SSIs) have emerged as critical concerns, particularly in high-risk patient populations. Identifying independent risk factors for SSIs is...

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Main Authors: Chuan Chen, Hanshu Wu, Xinyu Wang, Ying Peng, Ying Peng’, Lei Lei, Yangyang Zhao, Gang Chen
Format: Article
Language:English
Published: BMC 2025-07-01
Series:BMC Women's Health
Subjects:
Online Access:https://doi.org/10.1186/s12905-025-03810-3
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author Chuan Chen
Hanshu Wu
Xinyu Wang
Ying Peng
Ying Peng’
Lei Lei
Yangyang Zhao
Gang Chen
author_facet Chuan Chen
Hanshu Wu
Xinyu Wang
Ying Peng
Ying Peng’
Lei Lei
Yangyang Zhao
Gang Chen
author_sort Chuan Chen
collection DOAJ
description Abstract Purpose As microwave ablation (MWA) becomes an increasingly popular treatment for gynecological diseases, complications such as surgical site infections (SSIs) have emerged as critical concerns, particularly in high-risk patient populations. Identifying independent risk factors for SSIs is essential to implement effective preventive measures and enhance patient outcomes. Methods This retrospective study included women aged 18–55 with a diagnosis of uterine myoma or adenomyosis who underwent MWA at the First Affiliated Hospital of the University of Science and Technology of China between December 2020 and November 2023. Patient selection criteria included undergoing laparoscopic MWA by our team and providing written informed consent. The Kolmogorov-Smirnov test was used to assess the normality of continuous variables, and statistical analyses were performed using the Student’s t-test, Mann-Whitney U test, and χ2 test. Multivariate logistic regression identified potential predictors for SSIs. Results In this study, SSIs were observed in 7.58% of patients, with prolonged surgical duration and abdominal adhesions identified as significant independent risk factors. Conclusion This study provides insights into SSIs following MWA surgery in a Chinese population, highlighting specific risk factors that could inform preventive strategies to improve surgical outcomes and patient safety.
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spelling doaj-art-545aa209d6af4e0e89dc958d41682e0b2025-08-20T03:46:12ZengBMCBMC Women's Health1472-68742025-07-012511710.1186/s12905-025-03810-3Risk factors for surgical site infections following microwave ablation of the uterus: a retrospective cohort studyChuan Chen0Hanshu Wu1Xinyu Wang2Ying Peng3Ying Peng’4Lei Lei5Yangyang Zhao6Gang Chen7Department of Obstetrics and Gynecology, Division of Life Sciences and Medicine, The First Affiliated Hospital of USTC, University of Science and Technology of ChinaDepartment of Obstetrics and Gynecology, Division of Life Sciences and Medicine, The First Affiliated Hospital of USTC, University of Science and Technology of ChinaDepartment of Obstetrics and Gynecology, Division of Life Sciences and Medicine, The First Affiliated Hospital of USTC, University of Science and Technology of ChinaDepartment of Obstetrics and Gynecology, Division of Life Sciences and Medicine, The First Affiliated Hospital of USTC, University of Science and Technology of ChinaDepartment of Obstetrics and Gynecology, Division of Life Sciences and Medicine, The First Affiliated Hospital of USTC, University of Science and Technology of ChinaDepartment of Obstetrics and Gynecology, Division of Life Sciences and Medicine, The First Affiliated Hospital of USTC, University of Science and Technology of ChinaChina Railway Fourth Bureau Group Central Hospital, Sinopharm GroupDepartment of Obstetrics and Gynecology, Division of Life Sciences and Medicine, The First Affiliated Hospital of USTC, University of Science and Technology of ChinaAbstract Purpose As microwave ablation (MWA) becomes an increasingly popular treatment for gynecological diseases, complications such as surgical site infections (SSIs) have emerged as critical concerns, particularly in high-risk patient populations. Identifying independent risk factors for SSIs is essential to implement effective preventive measures and enhance patient outcomes. Methods This retrospective study included women aged 18–55 with a diagnosis of uterine myoma or adenomyosis who underwent MWA at the First Affiliated Hospital of the University of Science and Technology of China between December 2020 and November 2023. Patient selection criteria included undergoing laparoscopic MWA by our team and providing written informed consent. The Kolmogorov-Smirnov test was used to assess the normality of continuous variables, and statistical analyses were performed using the Student’s t-test, Mann-Whitney U test, and χ2 test. Multivariate logistic regression identified potential predictors for SSIs. Results In this study, SSIs were observed in 7.58% of patients, with prolonged surgical duration and abdominal adhesions identified as significant independent risk factors. Conclusion This study provides insights into SSIs following MWA surgery in a Chinese population, highlighting specific risk factors that could inform preventive strategies to improve surgical outcomes and patient safety.https://doi.org/10.1186/s12905-025-03810-3Microwave ablationSurgical site infectionsRisk factor
spellingShingle Chuan Chen
Hanshu Wu
Xinyu Wang
Ying Peng
Ying Peng’
Lei Lei
Yangyang Zhao
Gang Chen
Risk factors for surgical site infections following microwave ablation of the uterus: a retrospective cohort study
BMC Women's Health
Microwave ablation
Surgical site infections
Risk factor
title Risk factors for surgical site infections following microwave ablation of the uterus: a retrospective cohort study
title_full Risk factors for surgical site infections following microwave ablation of the uterus: a retrospective cohort study
title_fullStr Risk factors for surgical site infections following microwave ablation of the uterus: a retrospective cohort study
title_full_unstemmed Risk factors for surgical site infections following microwave ablation of the uterus: a retrospective cohort study
title_short Risk factors for surgical site infections following microwave ablation of the uterus: a retrospective cohort study
title_sort risk factors for surgical site infections following microwave ablation of the uterus a retrospective cohort study
topic Microwave ablation
Surgical site infections
Risk factor
url https://doi.org/10.1186/s12905-025-03810-3
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