Audit on gynaecological surgeries in Ramaiah medical college and hospital in year 2025
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20254276Keywords:
Gynaecological surgery, Hysterectomy, Laparoscopy, Patient outcomes, Surgical auditAbstract
Background: Surgical audit is a peer-reviewed process to assess surgical quality and improve patient outcomes. In gynaecology, common surgeries include hysterectomy, dilatation and curettage, prolapse repair, laparoscopy, and myomectomy. This study aimed to evaluate the effectiveness, efficiency, and outcomes of gynaecological surgeries performed at Ramaiah Medical College and Hospital, Bengaluru, from January to March 2025, and to identify areas for improvement in surgical practice.
Methods: This retrospective observational study included all patients who underwent gynaecological surgeries during the study period at Ramaiah Memorial Hospital. Data on demographics, indications, type of surgery, complications, anaesthesia, and hospital stay were collected and analysed using SPSS version 26.0.
Results: A total of 52 gynaecological surgeries were conducted. The majority of patients were aged 50-55 years. Abnormal uterine bleeding (38%) was the most common indication. Hysterectomy was the predominant surgery (46%), performed mainly via the vaginal route (50%). Endoscopic procedures constituted 50% of surgeries, including hysteroscopies (32%) and laparoscopies (17%). Spinal anaesthesia was used in 62% of cases. The main complication was intraoperative blood loss requiring transfusion. The mean hospital stay was longest for abdominal hysterectomies (3-5 days).
Conclusions: Most surgeries adhered to ACOG and RCOG recommendations, prioritising minimally invasive approaches. Vaginal and laparoscopic hysterectomies were preferred where feasible, reflecting evidence-based and patient-centred surgical practice.
Metrics
References
Esmaeil A, Olama M, Moharram N. Audit on gynaecological surgeries in AL-Zahraa University Hospital in year 2017. J Recent Advan Medi. 2022;3(2):87-95. DOI: https://doi.org/10.21608/jram.2022.92517.1136
Salufu S, Adewumi BA, Olayemi OO. An Audit of Gynecological Surgeries Performed at the University College Hospital, Ibadan, Southwest Nigeria. Int J Medi Heal Develop. 2024;29(4):289-94. DOI: https://doi.org/10.4103/ijmh.ijmh_26_24
Ahmed IA, Jaffar DW. Prevalence of postoperative complications in gynecologic surgery. Electr J Univer Aden Basic Appl Sci. 2023;4(4):295-304. DOI: https://doi.org/10.47372/ejua-ba.2023.4.295
Suleiman N. Internal audit and the effectiveness and efficiency of operations in hospitals. InProceedings of 11th International Business and Social Science Research Conference. 2015:1-21.
Turlea E, Stefanescu A, Calu DA, Mihaescu-Pintia C, Mocanu M. Empirical research on the internal audit into public hospitals from Romania. Afr J Busi Manage. 2011;5(4):1509. DOI: https://doi.org/10.5897/AJBM11.1997
Agboola AD, Bello OO, Olayemi OO. A clinical audit of the patterns of presentations and complications of abdominal myomectomy at the University College Hospital, Ibadan, Nigeria. J Obstetr Gynaecol. 2021;41(7):1145-50. DOI: https://doi.org/10.1080/01443615.2020.1845632
Oladapo OT, Akinsanya AF. Relative morbidity of abdominal myomectomy for very large uterine fibroids in a developing country hospital. Arch Gynecol Obstetr. 2011;283(4):825-30. DOI: https://doi.org/10.1007/s00404-010-1460-y
Wechter ME, Wu JM, Marzano D, Haefner H. Management of Bartholin duct cysts and abscesses: a systematic review. Obstetr Gynecolog Surv. 2009;64(6):395-404.
Wechter ME, Wu JM, Marzano D, Haefner H. Management of Bartholin duct cysts and abscesses: a systematic review. Obstetr Gynecolog Surv. 2009;64(6):395-404. DOI: https://doi.org/10.1097/OGX.0b013e31819f9c76
Kongnyuy EJ, Uthman OA. Use of criterion-based clinical audit to improve the quality of obstetric care: A systematic review. Act Obstetr Gynecol Scandin. 2009;88(8):873-81. DOI: https://doi.org/10.1080/00016340903093542
Chen B, Ren DP, Li JX, Li CD. Comparison of vaginal and abdominal hysterectomy:A prospective non-randomized trial. Pak J Med Sci. 2014;30(4):875-9. DOI: https://doi.org/10.12669/pjms.304.4436
Panda S, Das A, Das R, Sharma N, Shullai W, Jante V, et al. Analysis of different routes of hysterectomy based on a prospective algorithm and their complications in a tertiary care institute. Minim Invasive Surg. 2022;2022:6034113. DOI: https://doi.org/10.1155/2022/6034113
American College of Obstetricians and Gynecologists. Choosing the route of hysterectomy for benign disease. ACOG Committee Opinion No. 701. Obstet Gynecol. 2017;129(6):e155-e159. DOI: https://doi.org/10.1097/AOG.0000000000002112
Housmans S, Noori N, Kapurubandara S, Bosteels JJA, Cattani L, Alkatout I, et al. Systematic review and meta-analysis on hysterectomy by Vaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES) compared to laparoscopic hysterectomy for benign indications. J Clin Medi. 2020;9(12):3959. DOI: https://doi.org/10.3390/jcm9123959
Reddy MN, Reddy MR. Comparison of total abdominal, vaginal and total laparoscopic hysterectomy. Int Surg J. 2016;3(4):2007-11. DOI: https://doi.org/10.18203/2349-2902.isj20163183
Sonkusare A, Dixit P. Comparative analysis of total laparoscopic hysterectomy versus non-descent vaginal hysterectomy for benign uterine pathologies in women: A systematic review. Cureus. 2024;16(6). DOI: https://doi.org/10.7759/cureus.62846
Downloads
Published
How to Cite
Issue
Section
