Prevalence of surgical complications in gynecological surgery at the Hospital Universitario San José in Popayán, Colombia. 2015

Abstract

Introduction: Every surgery has risk of complications; prognosis depends on prompt diagnosis and timely management.Objective: To determine the prevalence of surgical complications in gynecological surgery in a tertiary care hospital and to explore associated factors.Materials and methods: Prevalence study with secondary analysis of medical records of patients who underwent scheduled gynecological surgery. The outcome variable was complications reported during a period of less than 30 days. The universe was established, and clinical, biological and sociodemographic variables were collected. To determine prevalence, the total number of complications was taken as the numerator and the total number of records was used as the denominator. To explore associated factors, odds ratio (OR) was used as a measure of association with a 95% CI.Results: 591 records were reviewed, finding a surgical management of ectopic pregnancy prevalence of 3.8% (OR=3.73, CI95%: 2.41-92.52). Obesity (OR 12.47, CI95%: 4.48-33.19) and gynecological surgery for malignancy (OR 3.73, CI95%: 1.14- 10.48) were associated with complications.Conclusion: The prevalence found in our institution was similar to what most studies have reported.

Intraoperative and Postoperative Complications in Gynaecological Surgery: A Retrospective Analysis

“…The average duration of hospital stay after surgery was 10.79 + 7.91 days, and the mean duration of hospital stay was the longest in abdominal surgeries (11.5 days), followed by vaginal (7.5 days), and laparoscopic surgeries (7.3 days) due to complications. Compared to the study by Ortiz-Martínez et al [ 4 ], where the reported prevalence of general complications following gynaecological surgery was 3.8%, our study had a higher complication rate. This could be explained by the fact that we included only major gynaecological procedures, unlike Ortiz-Martínez et al who also analysed cases involving tubal ligation and curettage.…”

“…The prevalence of SSI varies among different studies. Ortiz-Martínez et al [ 4 ] and Barbosa et al [ 9 ] have reported a prevalence of 1.52% and 2.2% respectively, which are lower compared to our rates. Pathak et al [ 10 ] in their analysis of 1,173 cases involving both obstetric and gynaecological cases reported a 10.3% SSI rate following gynaecological surgeries, which aligns with our findings.…”

“…In our study, the frequency of urethral/bowel injury and bladder injury was 0.25% and 0.77% respectively, which is in accordance with that reported in the literature. Ortiz-Martínez et al [ 4 ] examined the prevalence of urological injuries in gynaecological surgeries and found that bladder injury was seen in 0.34% of cases.…”

“…Nearly 0.2-1% of gynaecological surgeries can be complicated by urinary tract injuries [ 1 , 3 ]. The most common surgeries performed in gynaecology are hysterectomy, salpingectomy, and cystectomy [ 4 ]. These surgeries can be performed either by the abdominal or vaginal route, by open technique, or by minimally invasive techniques such as laparoscopy and robotic methods.…”

Applied anatomy knowledge in gynaecology and obstetrics: the trainees’ perception

“…Complications may result from the proximity of the gynaecological organs to the urinary tract, bowel, nerves, and vasculature. A 3.8% overall prevalence rate of complications for gynaecological surgery was reported; 1.8% were major and 2% were minor complications [21]. To perform safe surgery, O&G doctors should have adequate surgical anatomy knowledge particularly in situations where anatomy is distorted by adhesions or surgical bleeding [22].…”