SURGICAL OUTCOMES AND PREDICTORS OF POSTOPERATIVE COMPLICATIONS AMONG WOMEN UNDERGOING MAJOR GYNAECOLOGICAL SURGERY: A PROSPECTIVE CLINICAL STUDY
Abstract
Major gynaecological surgeries are commonly performed to treat a wide range of benign and malignant conditions affecting women's reproductive health. Evaluating surgical outcomes and identifying factors associated with postoperative complications are essential for improving patient safety, optimizing treatment strategies, and enhancing recovery after surgery. Surgical outcomes and postoperative complications remain important concerns among women undergoing major gynaecological surgery, as these complications can increase morbidity, prolong hospital stay, and affect recovery and quality of life. This prospective clinical study aimed to evaluate surgical outcomes and identify predictors of postoperative complications among women undergoing major gynaecological surgery. The study was conducted in tertiary care hospitals in Pakistan, where data were collected prospectively from women who underwent major gynaecological procedures through clinical assessments, patient interviews, and medical record reviews. A total sample of 391 patients was recruited using a consecutive sampling technique. Information on demographic characteristics, clinical history, surgical procedures, intraoperative factors, and postoperative outcomes was collected using a structured data collection form. Data were analyzed with descriptive statistics (frequencies, percentages, means, and standard deviations), chi-square tests, independent sample t-tests, and logistic regression analysis to identify predictors of postoperative complications. The findings indicated that patient-related and surgical factors influenced postoperative outcomes, with certain clinical and procedural characteristics increasing the likelihood of complications. The study highlights the importance of early risk assessment, careful surgical planning, and effective postoperative monitoring to improve patient outcomes and reduce complication rates. These findings may assist healthcare professionals in developing evidence-based strategies to enhance the quality and safety of gynaecological surgical care and reduce postoperative morbidity among women.
Keywords
- Major Gynaecological Surgery, Surgical Outcomes, Postoperative Complications, Women's Health, Clinical Predictors, Prospective Clinical Study, Patient Safety, Logistic Regression Analysis.
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