Infectious complications following abdominal hysterectomy in Karachi, Pakistan

Ahmed, Furqaan; Wasti, S.

doi:10.1016/s0020-7292(00)00246-0

Cited by 16 publications

(11 citation statements)

References 15 publications

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“…Most hysterectomies involve the complete removal of the uterus and both ovaries. Further, in a large percentage of cases in Pakistani and US hospitals, the cervix is also removed (Ahmad and Wasti 2001;Bashir et al 2005). During surgery, ligaments and nerves are frequently damaged or severed, leading to problems such as constipation, urinary incontinence, and disturbed sexual response.…”

Section: The Colonial Ethical ''Medical Gaze'' Revivedmentioning

confidence: 99%

Cutting Inoperable Bodies: Particularizing Rural Sociality to Normalize Hysterectomies in Balochistan, Pakistan

Towghi

2012

Medical Anthropology

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Drawing on 15 months of ethnographic research in Balochistan, Pakistan (2005 -2006), I explore Panjguri midwives' (dïnabogs, kawwās, or balloks) narrative links between routine injections of prostaglandins around childbirth and the increasing number of hysterectomies. These techno-medical interventions reflect the postcolonial biomedicalization of women's bodies and reproductive health care, and are reinforced by shifts in Pakistan's public health policy against maternal mortality in a context where about 90 percent of births occur outside of hospitals. Transnational campaigns against maternal mortality further biomedicalize women's lives. Interviews with doctors, midwives, and women, and analysis of women's experiences, illustrate the practical considerations that were used to normalize radical hysterectomies over less invasive procedures.

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Section: The Colonial Ethical ''Medical Gaze'' Revivedmentioning

confidence: 99%

Cutting Inoperable Bodies: Particularizing Rural Sociality to Normalize Hysterectomies in Balochistan, Pakistan

Towghi

2012

Medical Anthropology

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“…Before routine use of prophylactic antibiotic regimens, SSI rates reported for abdominal hysterectomy were 9% or higher in all 4-8 but one publication. 9 During the last decade, reported SSI rates after abdominal hysterectomy have ranged from 1.7 to 11%, 10-17 while SSI rates reported in individual studies after vaginal hysterectomy (i.e., vaginal cuff cellulitis) ranged from 3.1 to 4.8%. 12,15,17 Thus there appears to be a wider range of SSI rates reported from individual institutions after abdominal hysterectomy than after vaginal hysterectomy.…”

Section: Introductionmentioning

confidence: 99%

Developing a Risk Stratification Model for Surgical Site Infection after Abdominal Hysterectomy

Olsen

Higham-Kessler

Yokoe

et al. 2009

Infect. Control Hosp. Epidemiol.

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Objective The incidence of surgical site infection (SSI) ranges widely from 2-21% after hysterectomy. There is insufficient understanding of risk factors to build a specific risk stratification index. Methods Retrospective case-control study of 545 abdominal and 275 vaginal hysterectomies from 7/1/03 - 6/30/05 at four institutions. SSIs were defined using CDC/NNIS criteria. Independent risk factors for abdominal hysterectomy were identified by logistic regression. Results There were 13 deep incisional, 53 superficial incisional, and 18 organ-space SSI after abdominal and 14 organ-space SSI after vaginal hysterectomy. Because risk factors for organ-space SSI were different in univariate analysis, further analyses focused on incisional SSI after abdominal hysterectomy. The maximum serum glucose within 5 days after operation was highest in patients with deep incisional SSI, lower in patients with superficial incisional SSI and lowest in uninfected patients (median 189, 156, and 141mg/dL, p = .005). Independent risk factors for incisional SSI included blood transfusion (odds ratio (OR) 2.4) and morbid obesity (body mass index (BMI) > 35, OR 5.7). Duration of operation > 75th percentile (OR 1.7), obesity (BMI 30-35, OR 3.0), and lack of private health insurance (OR 1.7) were marginally associated with increased odds of SSI. Conclusions Incisional SSI after abdominal hysterectomy was associated with increased BMI and blood transfusion. Longer operative time and lack of private health insurance were marginally associated with SSI. A specific risk stratification index could help to more accurately predict the risk of incisional SSI following abdominal hysterectomy.

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“…Ahmed and Wasti reported only a 0.4% incidence of postoperative pelvic abscess in a series of 827 consecutive abdominal hysterectomies. No SOM was identified [1].…”

Section: Discussionmentioning

confidence: 99%

“…D eep pelvic abscess is a well-known infective complication in gynecologic practice [1][2][3][4][5][6]. However, sacral osteomyelitis (SOM) has rarely been reported; most cases are seen after abdominal sacral colpopexy for correcting vaginal vault prolapse [4,[7][8][9][10].…”

mentioning

confidence: 99%

Chronic Pelvic Pain Reveals Sacral Osteomyelitis Three Years after Abdominal Hysterectomy

Akhaddar

Mahi

Elouennass

et al. 2009

Surgical Infections

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Infectious complications following abdominal hysterectomy in Karachi, Pakistan

Abstract: The results of this study may serve as a baseline for future comparison and indicate interventions which may contribute to a reduction in the post-operative infection rate.

Cited by 16 publications

References 15 publications

Cutting Inoperable Bodies: Particularizing Rural Sociality to Normalize Hysterectomies in Balochistan, Pakistan

Cutting Inoperable Bodies: Particularizing Rural Sociality to Normalize Hysterectomies in Balochistan, Pakistan

Developing a Risk Stratification Model for Surgical Site Infection after Abdominal Hysterectomy

Chronic Pelvic Pain Reveals Sacral Osteomyelitis Three Years after Abdominal Hysterectomy

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