Audit of Gynaecology Surgeries at the Modibbo Adama University Teaching Hospital, Yola, Adamawa State, Northeastern Nigeria

Abstract

ABSTRACT:

Background: The audit of surgeries in gynecology practice is essential for maintaining high standards of patient care, improving clinical outcomes, and fostering a culture of continuous quality improvement within the healthcare system. The study was aimed at determining the rate of all gynaecological surgeries performed, the common gynaecological surgeries and their indications within the period under review.

Materials and Methods: This was a 5-year retrospective observational study of 587 gynaecological surgeries performed between 1^st January, 2018 and 31^st December, 2022. Patients with complete relevant information in the registers were included in the audit and those with incomplete data were excluded. Data was analysed using IBM Statistical software SPSS package version 23.0 for frequencies and percentages and results were presented by simple statistical tables.

Results: A total of 10,597 patients were gynaecological attendees, out of which 587 patients had gynaecological surgeries performed, giving an institutional gynaecological surgery rate of 5.5%, within the period under review. The most common gynaecological surgery performed in MAUTH is hysterectomy (38.3%). The most common indication for the surgery is uterine fibroid (26.8%) and the route commonly used was the abdominal route (62.2%). General anaesthesia given in about (68.7%) of cases.

Conclusion: It is advisable to conduct more frequent audits of the department's provided services. This can aid in pinpointing training and service gaps, thereby enhancing the overall quality and safety of healthcare delivery. Regular audits play a pivotal role in upholding and reinforcing the governance framework by overseeing and enhancing clinical practices.

Key Words: Modibbo Adama university teaching hospital, audit, gynaecological surgery, Yola