Infectious complications following abdominal hysterectomy in Karachi, Pakistan
Document Type
Article
Department
Obstetrics and Gynaecology
Abstract
Objective: In this paper we studied the prevalence of post-operative infections after total abdominal hysterectomy in Karachi, Pakistan and their associated risk factors.METHOD: A retrospective analysis was conducted by reviewing the case notes of 827 consecutive total abdominal hysterectomies.Results: The post-operative infection rate was 22%. Of the patients, 6% (49) developed operative site infections including wound and vaginal cuff infections and pelvic abscesses while 16% (133) developed non-operative site infections including urinary tract infections and thrombophlebitis. Six risk factors were found to be significantly associated with post-operative infections: a pre-operative hospitalization of more than 2 days (P<0.02); additional non-gynecological procedures performed intra-operatively (P<0.02); indwelling catheterization for more than 7 days (P<0.001); patient's age greater than 50 years (P<0.02); an underlying malignancy (P<0.0001); and developing a hematoma post-operatively (P<0.04).CONCLUSION: The results of this study may serve as a baseline for future comparison and indicate interventions which may contribute to a reduction in the post-operative infection rate.
Publication (Name of Journal)
International Journal of Gynaecology and Obstetrics
Recommended Citation
Ahmed, F.,
Wasti, S.
(2001). Infectious complications following abdominal hysterectomy in Karachi, Pakistan. International Journal of Gynaecology and Obstetrics, 73(1), 27-34.
Available at:
https://ecommons.aku.edu/pakistan_fhs_mc_women_childhealth_obstet_gynaecol/131