Abstract

According to the World Health Organization (WHO), complications from gynecological procedures affect an estimated
50,000–100,000 women worldwide, primarily in sub-Saharan Africa and Asia. Determining the health care parameters
impacting the results of gynecological procedures at Hoima Regional Referral Hospital (HRRH) was the primary goal of this
study. The study used a descriptive cross-sectional study design to collect information on health care factors influencing the
results of gynecological surgeries at HRRH, which is located in Hoima Municipality, about 200 km west of Kampala and serves
the populations of the Greater Bunyoro Region and the Eastern part of the Democratic Republic of the Congo, totaling over
3 million people. 305 (38.1%) of the 384 patient files that were sampled experienced a full recovery with no complications,
compared to 79 (20.6%), who mostly experienced issues at the surgery site (29/79). Pre-operative factors included receiving
pre-operative resuscitation (91.7% of cases), prophylaxis (89.6%), being clinically stable before to surgery (97.9%), and having
elective surgery (71.4% of cases). Regarding intra-operative aspects, the majority (58.1%) used spinal anaesthetic, and (42.7%)
the procedure was carried out by senior house officers. Following surgery, the majority of patients were observed receiving
pain relief (66.7%), intravenous antibiotics (78.6%), and monitoring every hour (48.7%). Gynecological surgery problems are
more common than ever, with surgical site complications being the most common. This requires for coordinated efforts at all
levels of the gynecological maternal care system.