Gaining prowess in the art of hysterectomy, reflections and complications; a teaching hospital experience

Abstract

Objective: The purpose of this audit is to analyze the indications, 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 is to clarify the importance of acquiring brain surgical skills during practice and follow-up. It should be a target present in teaching hospitals that adopt educational residency programs. Methods: This is a retrospective study involving all patients who underwent hysterectomy from January 2017 till January 2020. Results: a total of 245 patients underwent hysterectomy (regardless of the type) during the study period. The most common indication was abnormal vaginal bleeding followed by malignancy. The most common intraoperative complication was bladder injury followed by bleeding. The most common postoperative complication was wound infection followed by hematoma. The most common histopathology was benignly followed by malignancy. Conclusion: hysterectomy is a surgical procedure commonly performed to alleviate health welfare; nevertheless, in some situ, actions it is portrayed as a lifesaving procedure. Unsurprisingly, the significance and consequences of related complications mandate for patients planned for the procedure to be appraised thoroughly and adequately before surgery. The aim and art of refining and improving acquired surgical skills and experience portrayed intraoperatively errors a decline in complications rate. Time and practice aid to the ascending linear curve of gained surgical skills, which mirrors a gradual drop in the complications rate.