When Hysterectomy is the Best Solution: How do we improve its outcome? A Teaching Hospital Experience
How to improve the linear curve in surgical steps for hysterectomy?
DOI:
https://doi.org/10.35516/jmj.v59i1.2366Keywords:
hysterectomy, indications, perioperative complications, blood transfusion, histopathologyAbstract
Objective: This audit aimed to analyze the indications, intraoperative complications, and the final histopathology reports of all hysterectomies done under our care during the study period at Jordan University Hospital. The ultimate goal of the study was to shed light on how the outcome of surgeries as major as hysterectomies was improved when the surgical practice of such complex surgeries was effectively implanted and correctly taught so that the steps of the procedure became like second nature and part of the muscle memory of the operation during practice and follow-up. It should be located as the first goal of the tutorial in teaching hospitals that implement scholastic residency curricula.
Methods: This study includes all patients who underwent hysterectomy from January 2020 until July 2023.
Results: A total of 423 patients underwent hysterectomy throughout the study period. Abnormal vaginal bleeding was reported as the most common reason, whereas malignancy was the next. Bladder injury was reported to be the most common intraoperative complication, where bleeding was the next. Wound infection was at the top of the list of late postoperative complications. Benign conditions, mainly fibroids, and adenomyosis, were reported to be the most common histopathologic finding, followed by malignancy.
Conclusion: Hysterectomy remains an accurate indicator of surgical skills. Acquiring the skill of hysterectomy in various ways and whatever the justifications within a tight training program gives the surgeon a medal of confidence within a clear and programmed training program. We can measure efficacy through reduction in the time factor and the decline in the rate of surgical complications. Time and practice aid the ascending linear curve of gained surgical skills, which mirrors a gradual drop in the complication rate.
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