Factors associated with complications in gynecological surgeries.
OBJECTIVE
To evaluate the factors associated with complications in major gynecological surgeries.


METHODS
A retrospective study on major gynecological surgeries performed at King Khalid University Hospital, Riyadh, Kingdom of Saudi Arabia, from the year 1997-2001. A total of 555 cases were included. Risk factors associated with complications were evaluated by a unique regression analysis.


RESULTS
High blood loss was associated with salpingectomy/salpingotomy, myomectomy, and total abdominal hysterectomy (TAH). Old age was associated with TAH, oophorectomy and vaginal hysterectomy. Prolonged hospitalization was associated with TAH and oophorectomy. Urinary tract infection, wound infection, nausea and vomiting were not significant postoperative complications in major gynecological surgeries.


CONCLUSIONS
The recognition of the specific complications associated with each type of surgery are important for counseling the patients and preoperative preparation to reduce the risk of long term morbidity.
Addar
Mohammed H
MH
Obstetrics and Gynecology Department (36), King Khalid University Hospital, PO Box 7805, Riyadh 11472, Kingdom of Saudi Arabia. maddar2001@hotmail.com
Al-Motawa
Johara A
JA
D000328:Adult; D017677:Age Distribution; D000368:Aged; D016063:Blood Loss, Surgical / Q000706:statistics & numerical data*; D016001:Confidence Intervals; D005260:Female; D005500:Follow-Up Studies; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects* / Q000379:methods; D006801:Humans; D006973:Hypertension / Q000175:diagnosis / Q000453:epidemiology*; D007902:Length of Stay; D016015:Logistic Models; D008875:Middle Aged; D016017:Odds Ratio; D011183:Postoperative Complications / Q000175:diagnosis / Q000453:epidemiology*; D011184:Postoperative Period; D012189:Retrospective Studies; D012307:Risk Factors; D012529:Saudi Arabia / Q000453:epidemiology; D012720:Severity of Illness Index; D013530:Surgical Wound Infection / Q000175:diagnosis / Q000453:epidemiology; D016019:Survival Analysis; D014552:Urinary Tract Infections / Q000175:diagnosis / Q000453:epidemiology*