Patients Undergoing Gynecological Surgery Who Come to the Emergency Department after Hospital Discharge, Frequency, Reasons and Possible Solutions

Lasaga I, Martínez A, Vesga A, Centurión E, Pérez I, Gondra J, Hernando A, Rivera M and Lete I*

Obstetrics and Gynecology Clinical Management Unit, Araba University Hospital, Spain

^*Correspondance to: Iñaki Lete Lasa 

 PDF  Full Text DOI: 10.25107/2474-1647.3676

Abstract

Objective: To determine the frequency with which patients operated for a Gynecological cause attended the emergency room in the first month after hospital discharge and the reasons for doing so. Method: Retrospective study of scheduled surgeries performed by the Gynecology Service of the Araba University Hospital in the period between January 1st and December 31st, 2022. Results: 135 of the 851 patients who underwent surgery (15.8%) went to the emergency department in the first month after being discharged from the hospital. The main reason was infection of the surgical wound in patients who underwent breast surgery, followed by those operated on by laparotomy. The second reason was pain in patients who have undergone laparoscopic surgery. Conclusion: To reduce the number of patients who come to the Emergency Department for an infection of the surgical site, it could be proposed that, in addition to the intravenous antibiotic that is administered in the operating room, the patients at higher risk should be discharged with antibiotics to be used at home, to reduce the number of those who come for pain, a greater use of analgesia at home could be considered and in order to reduce the number of women who come to us because of vaginal bleeding after surgery, it would be advisable to provide adequate information about this possibility and to provide a care sheet that includes this possible complication.

Keywords

Gynecologic surgery; Emergency Department; Surgical site infection; Postoperative pain

Cite the article

Lasaga I, Martínez A, Vesga A, Centurión E, Pérez I, Gondra J, et al. Patients Undergoing Gynecological Surgery Who Come to the Emergency Department after Hospital Discharge, Frequency, Reasons and Possible Solutions. Clin Surg. 2023; 8: 3676..