Preoperative renal function in women in Port Harcourt, Nigeria, with major gynecological lesions requiring urological and surgical interventions
1 Department of Surgery (Urology Division), University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria.
2 Department of Obstetrics and Gynecology, Rivers State University Teaching Hospital, Port Harcourt, Nigeria.
Research Article
Magna Scientia Advanced Research and Reviews, 2023, 07(02), 079–085
Article DOI: 10.30574/msarr.2023.7.2.0051
Publication history:
Received on 09 March 2023; revised on 16 April 2023; accepted on 19 April 2023
Abstract:
Introduction: Preoperative renal function assessment is a prerequisite for many surgical procedures. This is because of the vital function of the kidneys in the regulation of serum electrolytes, and excretion of waste products or by-products of metabolic processes.
Materials and Methods: This cross-sectional descriptive study was done at two university teaching hospitals in Port Harcourt, Nigeria, from January 2021 to December 2022. Case files of seventy-two (72) women scheduled for major gynecological surgeries were studied. Data obtained were analyzed using the SPSS, version 20, and the outcome was expressed using frequency tables and charts.
Results: The mean age of the women in the study was 37.50 ± 1.22 years. Women with hyponatremias were 9 (12.5%); hypokalemia, 11 (15.3%); hyperkalemia, 3 (4.2%). Thirty-nine patients, 39 (54.2%) had acidosis, low serum bicarbonate (HCO3-). Low blood urea was found in 11 (15.3%) of the women. One of them (1.4%) had elevated blood urea. The rest had normal values. Hypocreatinaemia and hypercreatinaemia were detected in 29 (40.3%) and 2 (2.8%) patients respectively.
Conclusion: Electrolyte derangement was found in 40 (55.6%) of the patients preoperatively. This finding suggests that renal function assessment is crucial in the preoperative evaluation of gynecological patients before major gynecological surgeries.
Keywords:
Preoperative renal function; Women in Port Harcourt; Major gynecological operations; South-Southern Nigeria
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