Is abdominal hysterectomy still the surgery of choice in sub‐Saharan Africa?

Rudnicki, Martin; Shayo, Benjamin C.

doi:10.1111/aogs.14087

Cited by 3 publications

(5 citation statements)

References 11 publications

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“…There was no statistical significant difference between the three studied groups regarding ASA (P1, P2, and P3 > 0.05). Figure (1) showed that there was no statistically significant difference between group C with group D2 and between group D2 with D4 at different periods of follow up (P1 & P3 > 0.05), while there was statistical significant difference between group C and D4 from period 30 min I.O to 12 hr. postoperative (P2 < 0.05) regarding heart rate.…”

Section: Resultsmentioning

confidence: 88%

“…Table (1) showed that age in group C ranged from 26-63 years with mean value of 46.07 ± 11.12, in group D2 ranged from 27-63 years with mean value of 44.93 ± 10.76 and in group D4 ranged from 28-65 years with mean value of 42.56 ± 11.79. There was no statistical significant difference between the three studied groups regarding age (P1, P2, and P3 > 0.05).…”

Section: Resultsmentioning

confidence: 98%

“…Hysterectomy complications can vary depending on the surgical approach and method. The hormonal balance and general health of patients are impacted by hysterectomy, which offers benefits and hazards (1) . 80% of surgical patients experience postoperative pain, the most common type is acute pain.…”

Section: Introductionmentioning

confidence: 99%

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Comparison between Two Different Doses of Intrathecal Dexamethasone Added to Bupivacaine for Post-operative Analgesia in Patients Undergoing Abdominal Hysterectomy

Amhimmid,

Gaafar,

Hassan

et al. 2023

The Egyptian Journal of Hospital Medicine

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Background: Insufficient surgical pain management can hinder healing, raise healthcare expenses, and decrease patient satisfaction. According to some investigations, spinal bupivacaine-dexamethasone showed analgesic effects that were nearly as potent as those of bupivacaine-fentanyl while also having opioid-sparing and antiemetic properties. The optimal spinal dexamethasone dosage for postoperative analgesia has not yet been established. It was therefore required to conduct a study looking at the effectiveness and safe amount of spinal dexamethasone for postoperative analgesia in patients having abdominal hysterectomy. Aim: Optimizing post-operative analgesia using two different doses of intrathecal dexamethasone added to bupivacaine in patients undergoing abdominal hysterectomy. Patients and methods: This study was conducted on patients who underwent elective abdominal hysterectomy at Zagazig University Hospitals' Department of Anaesthesia, Intensive Care, and Pain Management. The patients were divided into 3 groups (43 subjects each): Group C (Control group) received intrathecal bupivacaine 0.5% 4 cc plus 1 cc normal saline, group D2: received intrathecal bupivacaine 0.5% 4 cc plus 2 mg dexamethasone in 1cc volume and group D4 received intrathecal bupivacaine 0.5% 4 cc plus 4 mg dexamethasone in 1cc volume. Results: In terms of post-operative discomfort, there were statistically significant differences between groups C and D4 at various follow-up intervals. Also, between groups D2 and D4 from 0 to 12 hours after surgery. Conclusion:In women having abdominal hysterectomy surgery, intrathecal dexamethasone 4 mg combined with bupivacaine increased the intensity and duration of post-operative analgesia without causing any negative side effects.

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Section: Resultsmentioning

confidence: 88%

Section: Resultsmentioning

confidence: 98%

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Comparison between Two Different Doses of Intrathecal Dexamethasone Added to Bupivacaine for Post-operative Analgesia in Patients Undergoing Abdominal Hysterectomy

Amhimmid,

Gaafar,

Hassan

et al. 2023

The Egyptian Journal of Hospital Medicine

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“…One of the most successful hysterectomy registration systems in the world is the Danish Hysterectomy and hysteroscopy database (DHHD) (Since 2003). All Danish women who have undergone an elective hysterectomy, which is recorded directly by the surgeons involved in the treatment and prospectively [ 32 ].…”

Section: Discussionmentioning

confidence: 99%

Designing a core data set for benign hysterectomy registration system and its implementation in a referral teaching hospital in Northwest Iran

Asl,

Maserat,

Vaezi

et al. 2024

BMC Pregnancy Childbirth

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Background and aims Although minimally invasive hysterectomy offers advantages, abdominal hysterectomy remains the predominant surgical method. Creating a standardized dataset and establishing a hysterectomy registry system present opportunities for early interventions in reducing volume and selecting benign hysterectomy methods. This research aims to develop a dataset for designing benign hysterectomy registration system. Methods Between April and September 2020, a qualitative study was carried out to create a data set for enrolling patients who were candidate for hysterectomy. At this stage, the research team conducted an information needs assessment, relevant data element identification, registry software development, and field testing; Subsequently, a web-based application was designed. In June 2023the registry software was evaluated using data extracted from medical records of patients admitted at Al-Zahra Hospital in Tabriz, Iran. Results During two months, 40 patients with benign hysterectomy were successfully registered. The final dataset for the hysterectomy patient registry comprise 11 main groups, 27 subclasses, and a total of 91 Data elements. Mandatory data and essential reports were defined. Furthermore, a web-based registry system designed and evaluated based on data set and various scenarios. Conclusion Creating a hysterectomy registration system is the initial stride toward identifying and registering hysterectomy candidate patients. this system capture information about the procedure techniques, and associated complications. In Iran, this registry can serve as a valuable resource for assessing the quality of care delivered and the distribution of clinical measures.

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“…Robot-assisted hysterectomy is the most common approach in the United States of America [115], laparoscopic hysterectomy predominates in Australia [114], Denmark [111] and Taiwan [113], whereas the vaginal approach is customary in Austria [116]. In developing nations, abdominal hysterectomy remains the norm [117].…”

Section: Discussionmentioning

confidence: 99%

Systematic review of urological injury during caesarean section and hysterectomy

et al. 2022

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Introduction and hypothesis We aim to review iatrogenic bladder and ureteric injuries sustained during caesarean section and hysterectomy. Methods A search of Cochrane, Embase, Medline and grey literature was performed using methods pre-published on PROSPERO. Eligible studies described iatrogenic bladder or ureter injury rates during caesarean section or hysterectomy. The 15 largest studies were included for each procedure sub-type and meta-analyses performed. The primary outcome was injury incidence. Secondary outcomes were risk factors and preventative measures. Results Ninety-six eligible studies were identified, representing 1,741,894 women. Amongst women undergoing caesarean section, weighted pooled rates of bladder or ureteric injury per 100,000 procedures were 267 or 9 events respectively. Injury rates during hysterectomy varied by approach and pathological condition. Weighted pooled mean rates for bladder injury were 212–997 events per 100,000 procedures for all approaches (open, vaginal, laparoscopic, laparoscopically assisted vaginal and robot assisted) and all pathological conditions (benign, malignant, any), except for open peripartum hysterectomy (6,279 events) and laparoscopic hysterectomy for malignancy (1,553 events). Similarly, weighted pooled mean rates for ureteric injury were 9–577 events per 100,000 procedures for all hysterectomy approaches and pathologies, except for open peripartum hysterectomy (666 events) and laparoscopic hysterectomy for malignancy (814 events). Surgeon inexperience was the prime risk factor for injury, and improved anatomical knowledge the leading preventative strategy. Conclusions Caesarean section and most types of hysterectomy carry low rates of urological injury. Obstetricians and gynaecologists should counsel the patient for her individual risk of injury, prospectively establish risk factors and implement preventative strategies.

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Is abdominal hysterectomy still the surgery of choice in sub‐Saharan Africa?

Cited by 3 publications

References 11 publications

Comparison between Two Different Doses of Intrathecal Dexamethasone Added to Bupivacaine for Post-operative Analgesia in Patients Undergoing Abdominal Hysterectomy

Comparison between Two Different Doses of Intrathecal Dexamethasone Added to Bupivacaine for Post-operative Analgesia in Patients Undergoing Abdominal Hysterectomy

Designing a core data set for benign hysterectomy registration system and its implementation in a referral teaching hospital in Northwest Iran

Systematic review of urological injury during caesarean section and hysterectomy

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