Surgical site infection in patients with endometrial cancer undergoing open surgery

Purpose: Women with endometrial cancer have several risk factors for surgical site infection (SSI). The objective of this study was to determine the incidence of, and risk factors for, SSIs in endometrial carcinoma. Materials and Methods: Women with endometrial cancer who underwent primary open surgery at this institute between 2012 and 2014 were analyzed. Patients with and without SSI were compared. Results: Of all 107 patients, ten (9.3%) were diagnosed with SSI. Univariate analyses assessed age, BMI, diabetes mellitus, hypertension, postoperative body temperature, and serum albumin level as potential risk factors. There was no significant correlation between the mode of lymph node surgery and the occurrence of SSI. Multivariate analysis indicated that BMI was independently associated with a higher risk for SSI. Conclusions: Of all the tested, obesity exhibited the most significant risk factor for SSI in patients with endometrial cancer undergoing open surgery.