An audit on hysterectomy for benign diseases in public hospitals in Hong Kong.

An audit on hysterectomy for benign diseases in public hospitals in Hong Kong. Research Abstract Details 

Research Abstract Table of Contents

Jump to the:

An audit on hysterectomy for benign diseases in public hospitals in Hong Kong. Abstract Text:

P L Leung,S W Tsang,P M Yuen, ,P L Leung,S W Tsang,P M Yuen, ,

OBJECTIVE: To assess the standard of hysterectomy in public hospitals in Hong Kong, so as to improve the quality of patient care and outcome. DESIGN: Clinical audit. SETTING: Twelve Hong Kong Hospital Authority public hospitals. PATIENTS: All patients undergoing hysterectomy for benign gynaecological conditions during the period from 1 July 2002 to 31 December 2002 inclusive. RESULTS: A total of 1330 patients were included for analysis: 934 (70.2%) having abdominal hysterectomies, 184 (13.8%) having laparoscopic hysterectomies, and 212 (15.9%) undergoing vaginal hysterectomies. Uterine fibroids constituted the commonest indication for abdominal (73.7%) and laparoscopic (61.4%) hysterectomies, while genital prolapse was the most common indication (96.2%) for vaginal hysterectomy. The majority of patients undergoing laparoscopic and vaginal hysterectomy (86.3% and 84.8% respectively) were given prophylactic antibiotics, in contrast to only 45.8% of those undergoing abdominal hysterectomy. In all, 85.8% of the abdominal and vaginal hysterectomies performed by trainees were supervised, while for trainees performing laparoscopic hysterectomy, all had specialists as their first assistant. The overall incidence of complications for vaginal hysterectomy was lower than that for both abdominal hysterectomy (P<0.001) and laparoscopic hysterectomy (P<0.05). Infectious morbidity was significantly higher in patients undergoing abdominal hysterectomy without prophylactic antibiotics. CONCLUSION: The overall incidence of complications was lower for vaginal hysterectomies, as compared to both abdominal and laparoscopic hysterectomies, whereas the risk of urinary tract injury was significantly higher for laparoscopic hysterectomy. According to our audit, the level of supervision for the trainees was high. However, routine antibiotic prophylaxis should be more consistently used in the territory.

An audit on hysterectomy for benign diseases in public hospitals in Hong Kong. Publishing Authors By Initials

PL Leung,SW Tsang,PM Yuen, ,PL Leung,SW Tsang,PM Yuen, ,

For similar abstracts research abstracts see: abstracts research

PUBMED ID PMID:

MEDLINE DATE:

An audit on hysterectomy for benign diseases in public hospitals in Hong Kong. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Hong Kong medical journal = Xianggang yi xue za zh

VOLUME: 13

Page Numbers: 187-93

Journal Abbreviation:

ISSN: 1024-2708

DAY: 5

MONTH: Jun

YEAR: 2007

An audit on hysterectomy for benign diseases in public hospitals in Hong Kong. Information

Number of References:

LANGUAGE: eng

NlmUniqueID: 9512509

An audit on hysterectomy for benign diseases in public hospitals in Hong Kong. Keywords Mesh Terms:

KEYWORDS:

MESH TERMS:

Chemical & Substance for Abstract: An audit on hysterectomy for benign diseases in public hospitals in Hong Kong. Information

Substance Name:

Registry Number:

Grant and Affiliation Information for An audit on hysterectomy for benign diseases in public hospitals in Hong Kong.

AFFILIATION: Department of Obstetrics and Gynaecology, Kwong Wah Hospital, Kowloon, Hong Kong. leungpuilings829@yahoo.com.hk

Country: China

AGENCY:

GRANT:

ACRONYM:

MEDLINETA: Hong Kong Med J

REFSOURCE:

DATABASENAME:

ACCESSION NUMBER:

Number Hits: 0

An audit on hysterectomy for benign diseases in public hospitals in Hong Kong Related Publications

• A 31-phosphorus neurospectroscopy study of omega-3 long-chain polyunsaturated fatty acid intervention with eicosapentaenoic acid and docosahexaenoic acid in patients with chronic refractory epilepsy.
• A model to control the epidemic of H5N1 influenza at the source.
• A randomised controlled trial of prophylactic levonorgestrel intrauterine system in tamoxifen-treated women.
• An audit on hysterectomy for benign diseases in public hospitals in Hong Kong.
• Canadian consensus conference on osteoporosis, 2006 update.
• Clinical features and complete genome characterization of a distinct human rhinovirus (HRV) genetic cluster, probably representing a previously undetected HRV species, HRV-C, associated with acute respiratory illness in children.
• CoVDB: a comprehensive database for comparative analysis of coronavirus genes and genomes.
• Complete genome sequence of bat coronavirus HKU2 from Chinese horseshoe bats revealed a much smaller spike gene with a different evolutionary lineage from the rest of the genome.
• Cytosine deamination and selection of CpG suppressed clones are the two major independent biological forces that shape codon usage bias in coronaviruses.
• Distribution and molecular characterization of tetracycline resistance in Laribacter hongkongensis.
• Dynamics of an ultrasonic transducer used for wire bonding.
• Evolution of antibiotic resistance mechanisms and their relevance to dialysis-related infections.
• Hepatitis B virus core-related antigens as markers for monitoring chronic hepatitis B infection.
• Hn03 metastatic parotid squamous cell carcinoma: a facial nerve preservative approach.
• Incremental linear discriminant analysis for face recognition.
• Isolation of Laribacter hongkongensis, a novel bacterium associated with gastroenteritis, from drinking water reservoirs in Hong Kong.
• Lasiodiplodia theobromae Pneumonia in a Liver Transplant Recipient.
• Lupeol suppresses cisplatin-induced nuclear factor-kappaB activation in head and neck squamous cell carcinoma and inhibits local invasion and nodal metastasis in an orthotopic nude mouse model.
• MP1 homologue-based multilocus sequence system for typing the pathogenic fungus Penicillium marneffei: a novel approach using lineage-specific genes.
• Modified four-coil phased array assembly for high-resolution MR imaging of the cerebellopontine angle.
• Natural history of hepatitis-related hepatocellular carcinoma.
• Outbreak of human metapneumovirus infection in psychiatric inpatients: implications for directly observed use of alcohol hand rub in prevention of nosocomial outbreaks.
• Plasmid profile and construction of a small shuttle vector in Laribacter hongkongensis.
• Precore and core promoter mutations at the time of HBeAg seroclearance in Chinese patients with chronic hepatitis B.
• Preface:contribution of social work to recovery and rehabilitation after the asian tsunami disaster.
• Severe acute respiratory syndrome coronavirus as an agent of emerging and reemerging infection.
• Sinus elevation. Caldwell Luc approach--has it gone passed its use-by date?
• The natural history of chronic hepatitis B.
• The photodissociation dynamics of ozone at 226 and 248 nm: O(3PJ) atomic angular momentum polarization.
• Three-dimensional time-of-flight subtraction angiography of subacute cerebral hemorrhage.