Surgical Emergencies in Obstetrics and Gynaecology in a Tertiary Care Hospital

  • Hanoon P Pokharel Department of Obstetrics and Gynaecology, BP Koirala Institute of Health Sciences, Dharan
  • Prerana Dahal Department of Obstetrics and Gynaecology, BP Koirala Institute of Health Sciences, Dharan
  • Rubina Rai Department of Obstetrics and Gynaecology, BP Koirala Institute of Health Sciences, Dharan
  • Shyam Sundar Budhathoki School of Public Health and Community Medicine, BP Koirala Institute of Health Sciences, Dharan

Abstract

Introduction: The management of Obstetrics and Gynaecological Emergency is directed at the
preservation of life, health, sexual function and the perpetuation of fertility. Main aim of the study
was to access the burden of Surgical Emergency in Obstetrics and Gynaecology and their course of
management at BPKIHS.
Methods: A total of 314 women presenting at the emergency admission room of Obstetrics and
Gynaecology Department of BPKIHS over two years, who required surgical intervention were
included in this hospital based descriptive study. Clinical assessment and routine laboratory
investigations were performed in all cases. All patients who presented with shock were resuscitated
and surgery was done at earliest possible time.
Results: The age of patients ranged from 15- 55 years with approximately 43% in the 25-34 years
category. Ninety two percent of them were married. Among the unmarried, 64% came with
problems related to unsafe abortion. About 61% of females presenting as acute surgical abdomen
had ruptured ectopic pregnancy, 7.64% had twisted ovarian cyst, and 6.26% had haemoperitoneum
and pyoperitoneum following vaginal hysterectomies, total abdominal hysterectomies and caesarean
section. Almost half (47.8%) of the cases underwent salphingectomy.
Conclusions:Women present with wide range of complaints and conditions in the admission room
of Obstetrics and Gynecology department of BPKIHS. Skilled clinicians, immediate investigation
facilities and experienced specialty Obstetrical and Gynaecological surgeons are the main backbone of
the emergency case management and saving lives. Study indicates there is need of some prospective
study to establish the causes of rising trend in Ectopic Pregnancies.

Keywords: ectopic pregnancy; emergency; gynaecological; obstetrics.

Published
2013-03-31
How to Cite
Pokharel, H., Dahal, P., Rai, R., & Budhathoki, S. (2013). Surgical Emergencies in Obstetrics and Gynaecology in a Tertiary Care Hospital. Journal of Nepal Medical Association, 52(189), 213-216. https://doi.org/10.31729/jnma.550
Section
Original Article