An Audit of Gynecological Surgeries Performed at the University College Hospital, Ibadan, Southwest Nigeria

Abstract

Background: Audit in a clinical setting is the collection of data for the purpose of setting professional standards, assessing clinical performances and modifying the clinical practice which is not routinely done in developing countries, including Nigeria. Audit of gynecologic surgeries in University College Hospital (UCH), Ibadan, was necessary to provide opportunities for improvement. Objectives: To determine the total number of gynecologic surgeries performed at UCH, the commonest surgeries performed at the hospital; and the cadres of surgeons who performed the surgeries especially the lead surgeons. Materials and Methods: This was a descriptive retrospective study of gynecologic surgeries carried out at the obstetrics and gynecology department of UCH, Ibadan, over a 5-year period. Data collected from theater records were entered into SPSS 24.0 software, cleaned and analysis performed. Results: There were 3790 gynecologic surgeries during the review period, in which outpatient gynecologic surgeries (surgical day or minor cases) accounted for the majority 53% (n = 2007), while major gynecological surgeries accounted for 47% (n = 1783). Cervical biopsy was the commonest surgical day (minor) procedure (541/2007, 27%), while abdominal myomectomy (517/1783, 29%) was the most performed major gynecologic surgery. Resident doctors performed most of the minor procedures, 73.7% (1476/2003), while the consultants led majority of the major procedures, 73.2% (1399/1910). Conclusion: A high number of gynecological surgeries were performed at UCH, Ibadan, under the period of review. Cervical biopsy and abdominal myomectomy were the commonest performed minor and major cases, respectively. Most minor cases were performed by Resident doctors while consultants performed most of the major cases. The high number of surgical cases performed could be an indication of the effectiveness of the healthcare delivery and training in the hospital.