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A profile of surgical complications in gynaecology at a teaching hospital in South Africa
Thesis (MMed) -- Stellenbosch University, 2022.
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| Format: | Thesis |
| Language: | en_ZA |
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Stellenbosch : Stellenbosch University
2022
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| _version_ | 1867613796358422528 |
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| access_status_str | Open Access |
| author | Gallant, Tasneem |
| author2 | Van der Merwe, Frederick Haynes |
| author_browse | Gallant, Tasneem Van der Merwe, Frederick Haynes |
| author_facet | Van der Merwe, Frederick Haynes Gallant, Tasneem |
| author_sort | Gallant, Tasneem |
| collection | Thesis |
| dc_rights_str_mv | Stellenbosch University |
| description | Thesis (MMed) -- Stellenbosch University, 2022. |
| format | Thesis |
| id | oai:scholar.sun.ac.za:10019.1/126020 |
| institution | Stellenbosch University (South Africa) |
| language | en_ZA |
| last_indexed | 2026-06-10T12:41:50.126Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository |
| publishDate | 2022 |
| publishDateRange | 2022 |
| publishDateSort | 2022 |
| publisher | Stellenbosch : Stellenbosch University |
| publisherStr | Stellenbosch : Stellenbosch University |
| record_format | dspace |
| source_str | SUNScholar — Stellenbosch University Repository |
| spelling | oai:scholar.sun.ac.za:10019.1/126020 A profile of surgical complications in gynaecology at a teaching hospital in South Africa Gallant, Tasneem Van der Merwe, Frederick Haynes Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Obstetrics and Gynaecology. Generative organs, Female -- Surgery -- South Africa Hysterectomy -- Complications -- South Africa Women's hospitals -- South Africa UCTD Thesis (MMed) -- Stellenbosch University, 2022. ENGLISH ABSTRACT: Background and Aim Information about current gynaecological surgical practices and patient outcomes is integral to the provision of quality gynaecological care. An audit of surgical complications can provide important information needed for an assessment of current surgical practices and outcomes. The aim of the study was to describe the cohort of patients having gynaecological surgical procedures at Tygerberg Hospital, their complication rates and identify associated risk factors. Method We conducted a retrospective review of patients, 18 years and older, having emergency and elective gynaecological surgical procedures between 01 January 2019 and 31 December 2019. Nine hundred and seventy patients were included. We summarised categorical data as counts and percentages. We performed bivariate and multivariate logistical regression to assess clinical and surgical factors associated with complications. We reported odds ratios as a measure of association with the corresponding 95% confidence interval. Statistical significance was set at p-value <0.1 and p-value < 0.05 in the bivariate and multivariate analysis, respectively. Results Overweight and obese patients accounted for 60% of patients. The most common indications for surgical intervention were early pregnancy complications (22.2%), benign gynaecological conditions (23.3%) and gynaecological malignancy (19.2%). Total abdominal hysterectomy was the single most common procedure performed and accounted for 23.7% of surgical procedures. Intra-operative or post-operative complications occurred in 12.7% of patients, while 1.2% sustained both intra-operative and postoperative complications. The most common complications were infection-related (7.5%) and bowel injury (1.8%). Oncological surgery did not increase the likelihood of complications compared to nononcological surgery (OR 1.14; CI 0.66-1.97 p-value 0.63). Intra-operative blood loss of more than 500ml was associated with an increase in complications. Conclusion The provision of quality gynaecological care requires information on gynaecological surgical practices and patient outcomes. These outcomes should be comparable to both national and international standards. The rates of surgical complications at our facility appear to be higher than local and international studies, with our main contributors being infective-related complications and bowel injuries. The use of on an extended course of prophylactic antibiotics could be considered, as well as auditing infection control measures. Those at a higher risk of bowel injury should be identified preoperatively and the surgery approached with care. AFRIKAANSE OPSOMMING: Geen opsomming beskikbaar. Masters 2022-11-19T12:33:11Z 2023-01-16T12:46:06Z 2022-11-19T12:33:11Z 2023-01-16T12:46:06Z 2022-11 Thesis http://hdl.handle.net/10019.1/126020 en_ZA Stellenbosch University vi, 43 pages : illustrations application/pdf Stellenbosch : Stellenbosch University |
| spellingShingle | Generative organs, Female -- Surgery -- South Africa Hysterectomy -- Complications -- South Africa Women's hospitals -- South Africa UCTD Gallant, Tasneem A profile of surgical complications in gynaecology at a teaching hospital in South Africa |
| title | A profile of surgical complications in gynaecology at a teaching hospital in South Africa |
| title_full | A profile of surgical complications in gynaecology at a teaching hospital in South Africa |
| title_fullStr | A profile of surgical complications in gynaecology at a teaching hospital in South Africa |
| title_full_unstemmed | A profile of surgical complications in gynaecology at a teaching hospital in South Africa |
| title_short | A profile of surgical complications in gynaecology at a teaching hospital in South Africa |
| title_sort | profile of surgical complications in gynaecology at a teaching hospital in south africa |
| topic | Generative organs, Female -- Surgery -- South Africa Hysterectomy -- Complications -- South Africa Women's hospitals -- South Africa UCTD |
| url | http://hdl.handle.net/10019.1/126020 |
| work_keys_str_mv | AT gallanttasneem aprofileofsurgicalcomplicationsingynaecologyatateachinghospitalinsouthafrica AT gallanttasneem profileofsurgicalcomplicationsingynaecologyatateachinghospitalinsouthafrica |