Role of general surgeon in gynecological emergencies
Journal Title: International Journal of Surgery Science - Year 2018, Vol 2, Issue 3
Abstract
Introduction: Acute abdominopelvic pain, specifically in female patients of reproductive age pose a diagnostic challenge. It’s in this context that general surgeon is often called to manage gynaecological emergencies (GE). In many cases, even after the medical history, physical examination, laboratory tests and imaging, the diagnosis can’t be concluded and diffcult in managing gynec emergencies, where a general surgeon plays vital role in both diagnostic and therapeutic management. Aim of study: This study was to investigate the contribution of general surgeon in GE in our hospital. Results: During the study period, 20 patients were included. The average age was 32 years, ranging from 16 to 60 years. The indications were dominated by ectopic pregnancies (40%). Ultrasonography was performed in all cases and helped clarify the diagnosis in 7 cases. Surgical exploration has readjusted the preoperative diagnosis in 11 cases. Laparoscopy was a therapeutic mean in 25% of cases (n = 5). The most performed of the gesture was adnexectomies followed by salpingectomies. No intraoperative complications were registered. The average hospital stay was 2 days for patients operated exclusively by laparoscopy with extremes of 1 and 4 days. All surgical specimens were examined by pathologists and no evidence of malignancy was found. No cases of operative morbidity and mortality associated with open & laparoscopy were noted. Conclusion: This study concludes that general surgeon plays a vital role in the management of gynecological emergencies offers significant benefits not only from diagnostic and therapeutic point of view but also in terms of reducing morbidity, mortality, post operative complications and length of hospital stay.
Authors and Affiliations
Dr. Dinesh L Jadhav, Dr. Anita S, Dr. S Ravikumar
Keywords
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