الفهرس 
Wound closureOnly 14 pages are availabe for public view
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Abstract
Hysterectomy and cesarean section are the most commonly performed operations among inpatients in Egyptian Hospital. The two most frequent complications of these surgeries are fever and surgical site infection. The use of prophylactic antibiotics in hysterectomy and cesarean section in our hospital is not standardized and is determined by the consultant in charge of the case. Inappropriate and prolonged use of antibiotics is a serious problem. It increases the morbidity and mortality of patients and also increases health care costs due to increased antibiotic resistance rates (Shetty, 2010).Surgical site infection is the most common cause of serious postoperative morbidity. It also costly because they add about 7-10 days to the average hospital stay and increase hospitalization costs. Despite the use of prophylactic antibiotics, wound infections remain common. It is important to treat the patient as a whole and not the infection alone, so, management strategies must be based on data deprived from a holistic assessment of the needs of the individual (NCI, 2012), ( El-Zanaty & Way, 2008).World Health Organization estimates that, between 65 and 80 percent of the world population (about 3 million people) have turned either to alternative practices or to complementary therapies. Herbal medicines attempt to regenerate health by eliminating toxins and by nourishing, building up, and stimulating the body. The use of honey as a wound dressing material is an ancient remedy that has been rediscovered. Honey selected for clinical use should be evaluated on the basis of antibacterial activity levels determined by laboratory testing. Many researchers and authors support the use of honey in infected wounds and some suggest its prophylactic use on the wounds of patients susceptible to infection and other antibiotic-resistant bacteria.