Gynaecological Complications in General Surgery Unit: A Single-Center Study

Authors

  • Nadia Bhatti Shaheed Muhtarma Benazir Bhutto Medical University, Larkana, Sindh, Pakistan
  • Afshan Bhatti Shaheed Muhtarma Benazir Bhutto Medical University, Larkana, Sindh, Pakistan
  • Najia Bhatti Shaheed Muhtarma Benazir Bhutto Medical University, Larkana, Sindh, Pakistan
  • Muharram Ali Shaheed Muhtarma Benazir Bhutto Medical University, Larkana, Sindh, Pakistan
  • Aisha Shaikh Chandka Medical College, Larkana, Sindh, Pakistan
  • Abdul Sattar Abro Shaheed Muhtarma Benazir Bhutto Medical University, Larkana, Sindh, Pakistan

DOI:

https://doi.org/10.46568/bios.v3i2.116

Keywords:

General surgeon, Gynecology issues

Abstract

Introduction: This study aims to investigate the frequency of gynecological complications reported during emergency and elective general surgeries. Methodology: This is a cross-sectional study, data were collected retrospectively, approximately 500 patients went through surgical management in the general surgery department while only 125 reported associated issues requiring surgical management and required gynecological interventions. Data was entered & analyzed using SPSS version 22. Frequency and percentage were calculated for quantitative variables such as presenting complaints, reported gynecological issues, required intervention, and reported associated problems.  Results: A total of 125 patients were enrolled in the study with the most commonly reported presenting complaint being pain with the vaginal discharge with vomiting documented in 72(57.5%) of patients. Puss discharge from wounds, peritonitis, and abdominal swelling were other frequently reported issues in 14(11.2%), 11 (8.7%), and 11 (8.7%) patients respectively. 98(78%) were discharged after successful management of gynecological as well as general surgical problems, 25(20%) were referred to tertiary care health care setup for more appropriate care and 1(1%) had a burst abdomen. Only 1 (1%) out of 125 patients expired during the study period. Conclusion: Gynecological complications have been markedly reported in the general surgery unit, necessitating general surgeons to intercede and deliver significant benefits in terms of lowering morbidity, mortality, postoperative complications, and length of hospital stay from a diagnostic and therapeutic point of view.

References

Bajaj J, Ratre S, Parihar V, Yadav YR. Superspeciality Surgical Education: Developing a New Subspecialty. Indian Journal of Surgery. 2022 Apr;84(1):75-81.

Timmerman GL, Thambi-Pillai TC, Johnson MK, Weigelt JA. Initial and ongoing training of the rural surgeon. Surgical Clinics. 2020 Oct 1;100(5):849-59.

Dissanaike S. What Operations Should a Modern Rural Surgeon Do? State-of-the-Art Lecture. The American Surgeon. 2022 Apr 21:00031348221086799.

Clark NV, Pepin KJ, Einarsson JI. Surgical skills assessment tools in gynecology. Current Opinion in Obstetrics and Gynecology. 2018 Oct 1;30(5):331-6.

da Motta NW, Schneider GA, Escovar CE, Reis RJ, Lim F, Wan BA, Silva MF. Management of uterine cancer. cancer management in latin america I.:233.

Unar F, Sangri AM, Bheelar ZH, Shar ZA, Khuhro BN, Lashari KA. Surgical Encounters In Emergency Gynaecological Procedures At Khairpur Medical College. Journal of Peoples University of Medical & Health Sciences Nawabshah.(JPUMHS). 2020 Jun 30;10(2):125-7.

Dhar H, Sashidharan P, Razek YA. Gossypiboma (Textiloma) in the Abdominal Preperitoneal Space Following Cesarean Section: A Case Report with Literature Review. Journal of South Asian Federation of Obstetrics and Gynaecology. 2019 Feb 1;11(1):77-80.

Cruickshank L, Amin A, DeSilva A. Small bowel evisceration: a late complication following vaginal hysterectomy. Journal of Obstetrics and Gynaecology. 2018 Jul 4;38(5):733-.

Asfour V, Smythe E, Attia R. Vascular injury at laparoscopy: a guide to management. Journal of Obstetrics and Gynaecology. 2018 Jul 4;38(5):598-606.

Vilos GA, Vilos AG, Abu-Rafea B, Jacob G, Oraif A, Edris F, Ternamian A. Bowel injury in laparoscopic gynaecological surgery; 19 medicolegal cases. European Journal of Obstetrics and Gynecology and Reproductive Biology. 2022 Mar 1;270:261-4.

Kumar-M P, Singh AK, Samanta J, Birda CL, Kumar N, Dhar J, Gupta P, Kochhar R. Acute pancreatitis in pregnancy and its impact on the maternal and foetal outcomes: A systematic review. Pancreatology. 2021 Dec 21.

Cheng V, Matsushima K, Ashbrook M, Matsuo K, Schellenberg M, Inaba K, Sandhu K. Association between trimester and outcomes after cholecystectomy during pregnancy. Journal of the American College of Surgeons. 2021 Jul 1;233(1):29-37.

Ball E, Waters N, Cooper N, Talati C, Mallick R, Rabas S, Mukherjee A, Ranjan YS, Thaha M, Doodia R, Keedwell R. Evidence-based guideline on laparoscopy in pregnancy: commissioned by the British Society for Gynaecological Endoscopy (BSGE) endorsed by the Royal College of Obstetricians & Gynaecologists (RCOG). Facts, views & vision in ObGyn. 2019 Mar;11(1):5.

Chaudhry RI, Chopra T, Fissell R, Golper TA. Strategies to prevent peritonitis after procedures: our opinions. Peritoneal Dialysis International. 2019 Jul;39(4):315-9.

Ortiz-Martínez RA, Betancourt-Cañas AJ, Bolaños-Ñañez DM, Cardona-Narváez T, Portilla ED, Flórez-Victoria O. Prevalence of surgical complications in gynecological surgery at the Hospital Universitario San José in Popayán, Colombia. 2015. Revista de la Facultad de Medicina. 2018 Dec;66(4):529-35.

Grabarz A, Ghesquière L, Debarge V, Ramdane N, Delporte V, Bodart S, Deruelle P, Subtil D, Garabedian C. Cesarean section complications according to degree of emergency during labour. European Journal of Obstetrics & Gynecology and Reproductive Biology. 2021 Jan 1;256:320-5.

Wichendu PN, Eli S, Omietimi J. General surgery encounter following obstetrics and gynaecological surgeries: A 10–year review at a university teaching Harcourt. World Journal of Advanced Research and Reviews. 2022;15(2):525-9.

Zlakishvili B, Sela HY, Tankel J, Ioscovich A, Rotem R, Grisaru-Granovsky S, Rottenstreich M. Post-cesarean ileus: An assessment of incidence, risk factors and outcomes. European Journal of Obstetrics & Gynecology and Reproductive Biology. 2022 Feb 1;269:55-61.

Huo YR, Phan K, Morris DL, Liauw W. Systematic review and a meta-analysis of hospital and surgeon volume/outcome relationships in colorectal cancer surgery. Journal of gastrointestinal oncology. 2017 Jun;8(3):534.

Krishnamurty DM, Blatnik J, Mutch M. Stoma complications. Clinics in colon and rectal surgery. 2017 Jul;30(03):193-200.

Downloads

Published

2022-12-31

How to Cite

Bhatti, N., Bhatti, A., Bhatti, N., Ali, M., Shaikh, A. ., & Abro, A. S. (2022). Gynaecological Complications in General Surgery Unit: A Single-Center Study. BioSight, 3(2), 22–29. https://doi.org/10.46568/bios.v3i2.116

Issue

Section

Original Article

Most read articles by the same author(s)

Similar Articles

1 2 > >> 

You may also start an advanced similarity search for this article.