Document Type : Original Article
Authors
1
Obstetrics and Gynecology Department, Itay Elbaroud General Hospital, Itay Elbaroud, Egypt.
2
Obstetrics and Gynecology Department, Faculty of Medicine for Girls, Al-Azhar University, Cairo, Egypt
Abstract
Background: Surgical audit is a systematic, critical examination of surgical quality that is examined by peers against specified criteria or standard recognition, then utilized with the ultimate aim of increasing the quality of patient care by enhancing surgical practice.
Objective: To appraise the effectiveness and efficiency of gynecological surgeries performed in Al-Zahraa University Hospital from 1 January 2017 to 31 December 2017.
Methodology: This retrospective study included all gynecological operations that were conducted at the Department of Obstetrics and Gynecology in Al-Zahraa University Hospital in year 2017. History records and patient files admitted for gynecological procedures were gathered. Data was collected regarding age, parity, presenting complaint, preoperative diagnosis, operations type, intra-and postoperative complications.
Results: Ovarian cysts, polycystic ovaries and infertility were indications for the laparoscopic surgeries in 24 (52.2%), 12 (26.1%), and 9 (19.6%) respectively. Uterine fibroids, post-menopausal and peri menopausal bleeding, and adnexal mass indications for Hysterectomy in 19 (30.6%), 18 (29%), 10 (16.1%), and 7 (11.3%) respectively. Post-menopausal bleeding, peri-menopausal bleeding, endometrial polyp, menororrhagia, and cervical polyp indications for the dilatation and curettage operations in 9 (27.3%), 9 (27.3%), 4 (12.1%), 3 (9.1%), and 2 (6.1%) cases respectively. Blood loss was the most common operative complication in 3 (42.9%) cases. Hysterectomy had the longest total hospital stay and pre-operative hospital with a mean of 10.63 ± 4.96 and 8.13 ± 4.87 days respectively
Conclusion: The most prevalent gynecological procedures were laparoscopic ovarian cystectomy, therapeutic hysteroscopic operations, total abdominal hysterectomy with bilateral salpingo-oophorectomy, and dilatation and curettage biopsies. The most prevalent surgical complication was intraoperative blood loss. Hysterectomy needed the most total hospital stay and pre-operative hospitalization, while Vulval required the least amount of pre-operative hospitalization.
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