A retrospective review (audit) of gynaecological emergency surgery at Groote Schuur Hospital for the period of January to December 2019

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dc.contributor.advisorAdams, Tracey Sheridan
dc.contributor.authorHlako, Tebogo Clive
dc.date.accessioned2025-02-17T08:18:10Z
dc.date.available2025-02-17T08:18:10Z
dc.date.issued2024
dc.date.updated2025-02-17T08:16:21Z
dc.description.abstractBackground. Gynaecological emergencies are a common cause of morbidity and mortality among women of reproductive age worldwide. There is less audit done on the burden of emergency surgery in developing countries. Objectives. The planned study analysed the clinical processes and outcomes of gynaecological emergency surgeries performed at a tertiary level hospital in the Western Cape (Groote Schuur) in the year 2019. Methods. The study was a retrospective descriptive record review of patients who underwent emergency surgery at Groote Schuur Hospital. Data was captured manually and electronically using theatre data base. Statistical analysis was performed using SPSS Statistics for Windows 2021. Results. We analysed 290 completed women records. The mean age was 30.16, with 230 (79.3%) women of reproductive age. There were 234 (79.1%) pregnancy related surgical procedures done. The most common occurrence among pregnancy related surgeries was ectopic pregnancy, accounting for 112 (47.9%) cases. A total of 130 (44.8%) women had anaemia and 125 (43.1%) had a tachycardia prior to surgery. Twenty-seven (9.3%) women were in hypovolaemic shock before surgery. A total of 179 (61.7%) women had the surgery 4 hours after being booked in theatre. Only 46 (15.9%) women accessed surgery within 2 hours. Twenty (6.9%) women had to wait for more than 24 hours for their operation to be done. The most common reason for the 24-hour delay, accounting for 85% (N=17), was the lack of emergency theatre time, as other cases from different disciplines were given priority. There were 42 (14.5%) women with complications post operatively and no mortality recorded. Conclusion. The study indicates good outcomes for emergency gynaecological surgeries performed at Groote Schuur Hospital in 2019. However, significant delays between the decision for surgical intervention and the actual performance of the surgeries were highlighted. The delays in hypovolaemic women were attributed to the need to compete with other surgical disciplines for emergency theatre time.
dc.identifier.apacitationHlako, T. C. (2024). <i>A retrospective review (audit) of gynaecological emergency surgery at Groote Schuur Hospital for the period of January to December 2019</i>. (). University of Cape Town ,Faculty of Health Sciences ,Department of Obstetrics and Gynaecology. Retrieved from http://hdl.handle.net/11427/40975en_ZA
dc.identifier.chicagocitationHlako, Tebogo Clive. <i>"A retrospective review (audit) of gynaecological emergency surgery at Groote Schuur Hospital for the period of January to December 2019."</i> ., University of Cape Town ,Faculty of Health Sciences ,Department of Obstetrics and Gynaecology, 2024. http://hdl.handle.net/11427/40975en_ZA
dc.identifier.citationHlako, T.C. 2024. A retrospective review (audit) of gynaecological emergency surgery at Groote Schuur Hospital for the period of January to December 2019. . University of Cape Town ,Faculty of Health Sciences ,Department of Obstetrics and Gynaecology. http://hdl.handle.net/11427/40975en_ZA
dc.identifier.ris TY - Thesis / Dissertation AU - Hlako, Tebogo Clive AB - Background. Gynaecological emergencies are a common cause of morbidity and mortality among women of reproductive age worldwide. There is less audit done on the burden of emergency surgery in developing countries. Objectives. The planned study analysed the clinical processes and outcomes of gynaecological emergency surgeries performed at a tertiary level hospital in the Western Cape (Groote Schuur) in the year 2019. Methods. The study was a retrospective descriptive record review of patients who underwent emergency surgery at Groote Schuur Hospital. Data was captured manually and electronically using theatre data base. Statistical analysis was performed using SPSS Statistics for Windows 2021. Results. We analysed 290 completed women records. The mean age was 30.16, with 230 (79.3%) women of reproductive age. There were 234 (79.1%) pregnancy related surgical procedures done. The most common occurrence among pregnancy related surgeries was ectopic pregnancy, accounting for 112 (47.9%) cases. A total of 130 (44.8%) women had anaemia and 125 (43.1%) had a tachycardia prior to surgery. Twenty-seven (9.3%) women were in hypovolaemic shock before surgery. A total of 179 (61.7%) women had the surgery 4 hours after being booked in theatre. Only 46 (15.9%) women accessed surgery within 2 hours. Twenty (6.9%) women had to wait for more than 24 hours for their operation to be done. The most common reason for the 24-hour delay, accounting for 85% (N=17), was the lack of emergency theatre time, as other cases from different disciplines were given priority. There were 42 (14.5%) women with complications post operatively and no mortality recorded. Conclusion. The study indicates good outcomes for emergency gynaecological surgeries performed at Groote Schuur Hospital in 2019. However, significant delays between the decision for surgical intervention and the actual performance of the surgeries were highlighted. The delays in hypovolaemic women were attributed to the need to compete with other surgical disciplines for emergency theatre time. DA - 2024 DB - OpenUCT DP - University of Cape Town KW - gynaecological emergency surgery KW - Groote Schuur Hospital LK - https://open.uct.ac.za PB - University of Cape Town PY - 2024 T1 - A retrospective review (audit) of gynaecological emergency surgery at Groote Schuur Hospital for the period of January to December 2019 TI - A retrospective review (audit) of gynaecological emergency surgery at Groote Schuur Hospital for the period of January to December 2019 UR - http://hdl.handle.net/11427/40975 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/40975
dc.identifier.vancouvercitationHlako TC. A retrospective review (audit) of gynaecological emergency surgery at Groote Schuur Hospital for the period of January to December 2019. []. University of Cape Town ,Faculty of Health Sciences ,Department of Obstetrics and Gynaecology, 2024 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/40975en_ZA
dc.language.rfc3066eng
dc.publisher.departmentDepartment of Obstetrics and Gynaecology
dc.publisher.facultyFaculty of Health Sciences
dc.publisher.institutionUniversity of Cape Town
dc.subjectgynaecological emergency surgery
dc.subjectGroote Schuur Hospital
dc.titleA retrospective review (audit) of gynaecological emergency surgery at Groote Schuur Hospital for the period of January to December 2019
dc.typeThesis / Dissertation
dc.type.qualificationlevelMasters
dc.type.qualificationlevelMMed
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