Abstract
Objective: The objective of our study was to study the surgical activities carried out in the gynecology-obstetrics department of the CHU-YO (Teaching Hospital Yalgado Ouédraogo) from January 1st 2015 to December 31st, 2015. Patients and Methods: This dealt with a cross-cutting descriptive and analytic study with retrospective data collection. Our study has included the female patients who underwent surgery in the operating room and whose medical records were usable. Results: 45% of female patients admitted in the concerned department underwent a surgery. The average age of patients was estimated at 28.02 years ±7 years with extremes of 13 years and 80 years. Obstetrical surgery has involved 89.9% of cases. Female patients have received a loco-regional anesthesia in 92.7% of cases. Emergency surgical operations accounted for 88.8% and caesarean section was the main surgical operation carried out in 87.1% of cases. The mortality rate of the overall surgical operations was 1.04%. Conclusion: A better availability of labile blood products is more likely to reduce the mortality rate of surgical operations under the threshold of 1%.
Highlights
IntroductionThis strategy aims at improving the access of the populations to emergency obstetrical operations
According to several authors, the increase of surgical operations seems to be related to an acute higher morbidity and mortality risk [1]; the increase of caesarean sections is related to a rise of the fetal mortality and the number of newborns admitted in neonatology unit
In 2015, the gynecology-obstetrics department has recorded 9198 admissions among which 4134 underwent surgical operations, which corresponds to 45%
Summary
This strategy aims at improving the access of the populations to emergency obstetrical operations. According to several authors, the increase of surgical operations seems to be related to an acute higher morbidity and mortality risk [1]; the increase of caesarean sections is related to a rise of the fetal mortality and the number of newborns admitted in neonatology unit [1] [2]. If in developed countries gynecological surgery is mainly performed by laparoscopic surgery, in most African countries laparotomy is still widely used [1]
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