Science topic

Obstetric Surgical Procedures - Science topic

Surgery performed on the pregnant woman for conditions associated with pregnancy, labor, or the puerperium. It does not include surgery of the newborn infant.
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Publications related to Obstetric Surgical Procedures (535)
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Article
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This was a cross-sectional study to compare the infection rate between laminar air flow and non-laminar air flow operation theater (OT). This was bi-center study and study places were the OT complexes of Sylhet Women’s Medical College Hospital (SWMCH) and Al Haramain Hospital Pvt. Ltd. of Sylhet. A Total 24 samples were collected from 12 OTs. Air a...
Article
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The SARS-CoV-2 outbreak overwhelmed the healthcare systems worldwide. Saturation of hospitals and the risk of contagion led to a reduction in the care of other diseases. Objective To determine the impact of SARS-CoV-2 pandemic on urological surgery in France during the year 2020. Design, setting and participants An observational descriptive study...
Preprint
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Introduction Throat pain and airway discomfort are the most commonly upsetting conditions of the patients’ wellbeing after surgery. However; little is known about the problem and associated factors. Objective To assess the magnitude, severity and associated factors of throat discomfort within 24 hours after surgery. Design: Facility-based cross-sec...
Article
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There are complex ethical dilemmas inherent to medicine teaching, particularly in clinical practice involving actual patients. Questions must be raised on fulfilling medical students’ training needs while still respecting patients’ fundamental rights to autonomy and privacy. We aimed to assess patients’ perspectives regarding medical students’ invo...
Article
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Objectives This study aimed to measure the prevalence, to describe the trend over time, and to evaluate socioeconomic inequalities in the occurrence of episiotomies in 2007, 2010, 2013, and 2016 in the municipality of Rio Grande, in Southern Brazil.Methods We included all women who had vaginal delivery in each of the studied years. All the informat...
Preprint
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There are complex ethical dilemmas inherent in medicine teaching, particularly in clinical practice involving actual patients. Questions must be raised on fulfilling medical students' training needs while still respecting patients' fundamental rights to autonomy and privacy. We aimed to assess patients' perspectives regarding medical students' invo...
Article
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Objective: Preoperative anemia among women has been recognized as a risk factor for adverse postoperative complications following gynecologic and obstetric surgeries. Therefore, this retrospective analysis was conducted to assess the association of postoperative complications and comorbidities with anemia in women underwent gynecologic and obstetri...
Preprint
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Background: Bedside teaching is fundamental to clinical education, providing opportunities for teaching and assessment, but is rarely evaluated or compared across students’ experiences. Our purpose was to evaluate key differences in teaching practices between required clerkships. Methods: This is a mixed-methods observational study at Duke Universi...
Article
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Öz Amaç: Son yıllarda sağlık sektöründe üçüncü basamak hastanelerden tanı ve tedaviye yönelik beklenen multidisipliner yaklaşım hizmetleri giderek artmaktadır. Bu durum hastanelerde birden fazla birime müracaat gerektirmekte, bu da hastaların sonuca ulaşmada aşırı zaman kaybetmelerine ve tanı/tedavilerde gecikmelere neden olmaktadır. Bu sürecin kıs...
Article
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Background Complementary and Alternative Medicine (CAM) has gained popularity among the general population, but its acceptance and use among medical specialists have been inconclusive. This systematic review aimed to identify relevant studies and synthesize survey data on the acceptance and use of CAM among medical specialists. Methods We conducte...
Article
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INTRODUCTION: Surgical site infection (SSI) is most common type of Hospital Acquired Infection (HAI) in low and middle-income countries. The objective of the study was to find out the incidence and associated factors of SSI following obstetric surgeries especially Lower Segment Cesarean Section (LSCS). MATERIALS AND METHODS: A retrospective cross s...
Article
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Background Bhutan has made much efforts to provide timely access to health services during pregnancy and increase institutional deliveries. However, as specialist obstetric services became available in seven hospitals in the country, there has been a steady increase in the rates of caesarean deliveries. This article describes the national rates and...
Article
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Background Recent data suggest that the COVID-19 pandemic and associated restrictions may have influenced alcohol use and promoted addictive behavior. We aimed to investigate the impact of the pandemic on acute alcohol intoxication (AAI) in France. Methods We identified all hospital stays related to alcohol abuse in 2018-2020. Differences in numbe...
Article
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OBJECTIVE: Antibiotic prophylaxis is one of the most important steps to reduce surgical site infections. First-generation cephalosporin (cefazolin) is used prophylactically in the majority of operations. Rifamycin is a broad-spectrum semisynthetic antibiotic that is bactericidal against gram (+) and gram (˗) microorganisms. To the best of our knowl...
Article
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The World Health Organization Surgical Safety Checklist was developed to improve communication in perioperative care, reduce mortality and complications of patients, and ensure the consistent use of procedures for safe surgery. Despite the increased awareness of the checklist, the implementation compliance is reported as low and the degree of compl...
Article
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Background Childbirth is a complex process that requires the safest care to prevent maternal and neonatal complications. The proportion of births occurring at health institutions in Ethiopia is still below expected (26%), which significantly contribute to a large number of maternal deaths. Hence, identifying factors affecting institutional delivery...
Article
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Background: The viability of obstetric practice in the private sector has been threatened as a result of steep increases in professional indemnity fees over the past 10 years. Despite this, empirical research investigating key aetiological factors to target risk management interventions has been lacking. Objectives: To explore private practice m...
Preprint
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Background Indicators to evaluate progress towards timely access to safe surgical, anaesthesia, and obstetric (SAO) care were proposed in 2015 by the Lancet Commission on Global Surgery. Despite being rapidly taken up by practitioners, datapoints from which to derive them were not defined, limiting comparability across time or settings. We convened...
Article
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The article represents the results of research into the development of a remedy for treating puerperal mastitis and endometritis in high-producing cows. The work was carried out at The Department of Obstetrics, Surgery, and Physiology of Domestic Animals in Don State Agrarian University. The research involved a complex pharmaceutical composition us...
Article
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Objectives: to develop and validate an obstetric surgical safety checklist for intraoperative care. Methods: this is a methodological study with two phases: integrative review in databases, using selection criteria and descriptors to synthesize the evidence and develop the checklist; checklist content validation, with 37 judges, who answered a Lik...
Article
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Study Objective The purpose of this study was to assess the impact of the coronavirus disease 2019 (COVID-19) pandemic on surgical volume and emergency department (ED) consults across obstetrics-gynecology (OB-GYN) services at a New York City hospital. Design Retrospective cohort study. Setting Tertiary care academic medical center in New York Ci...
Article
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Climate change affects human health in a myriad of ways, requiring reassessment of the nature of scaling up care delivery and the effect that care delivery has on the environment. 5 billion people do not have access to safe and timely surgical care, and the quantity and severity of conditions that require surgical, obstetric, and anaesthesia care w...
Article
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Introduction: The quality of information and efficiency in the practice and care environments are important aspects of nursing care. The use of a reliable and valid scale can monitor the quality of handover and provide information for continuous improvement of practice. This study aims to describe the perception of nurses, on the domains of qualit...
Article
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The article provides information on the species composition of the microflora of the digestive tract in chickens of the Dekalb cross, its changes during the period of early postembryonic development against the background of the introduction of biologically active substances. The assessment of the degree of influence of the use of monopreparations...
Conference Paper
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Introduction The Lancet Commission on Global Surgery has highlighted inequity in the burden of surgical conditions and outcomes in low- and middle-income countries (LMICs). Although quality-improvement processes are integral in reducing morbidity and mortality in surgical, obstetrics, trauma, and anesthesia care (SOTA) systems, there is limited kno...
Article
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There are no current descriptions of general anaesthesia characteristics for obstetric surgery, despite recent changes to patient baseline characteristics and airway management guidelines. This analysis of data from the direct reporting of awareness in maternity patients’ (DREAMY) study of accidental awareness during obstetric anaesthesia aimed to...
Article
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Objective: To determine the prevalence of blindness and partial sight among the indoor Diabetic patients of a teaching hospital. Study Design: Observational/cross-sectional study. Place and Duration of Study: The departments of Medicine, Surgery, Obstetrics and Gynecology and st th Ophthalmology at Pakistan Railway Hospital Rawalpindi from 1 Novemb...
Article
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Introduction: International institutions have emphasised the role of midwives in ensuring women health, which guarantees family health and its physical, psychological, social, and spiritual aspects. The integration of midwifery knowledge with psychology is a good opportunity for the patients and healthcare providers. Distraction technique is a psyc...
Article
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Introduction: Critical incidents related to peri-operative anesthesia carry a risk of unwanted patient outcomes. Studying those helps detect problems, which is crucial in minimizing their recurrence. We aimed to identify the frequency of peri-anesthetic critical incidents. Methods: This is a hospital-based descriptive cross-sectional study of vo...
Article
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Aim: : Appropriate calculation of sample size and choosing the correct sampling technique are of paramount importance to produce studies that are capable of drawing clinically relevant conclusions with generalizability of results. The current study was planned with an objective to determine reporting of sample size and sampling considerations in c...
Article
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Introduction There are rare reports of the occurrence of acute transverse myelitis and Guillain–Barré syndrome after various surgical procedures and general/epidural anaesthesia. The concomitant occurrence of these pathologies is very rare and is called Guillain–Barré and acute transverse myelitis overlap syndrome. In this article, we present the c...
Article
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Surgical Site Infection (SSI) is a type of Healthcare-associated infections (HAIs) which caused postoperative morbidity. SSI is widely reported in developing countries with a combined incidence of 11.8 episodes per 100 surgical procedures. This study aimed to identify risk factors for SSI in patients undergoing obstetric and gynecological surgeries...
Article
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p> Objective: Postoperative hematoma following abdominal surgery is relatively rare and mainly depends on the type of surgery. Specific treatment including surgery or interventional radiology is sometimes necessary. The aim of this study is to evaluate the cases of postoperative hematoma after gynecologic and obstetric surgery. Study Design: This...
Article
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Placental abruption is a condition that should be carefully considered in perinatal management because it is associated with serious events in both the mother and neonate, such as intrauterine fetal death, cerebral palsy, obstetric critical bleeding, and uncontrollable bleeding. The concomitant presence of disseminated intravascular coagulation (DI...
Article
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Background: Sepsis is a preventable cause of morbidity and mortality. Sepsis causes approximately 1 million new-born deaths annually. The global prevalence of maternal sepsis is 4.4% causing more than 5.7 million cases and one tenth of maternal deaths annually. Skin preparation, shaving and wound closure were some factors involved in surgical site...
Article
Full-text available
Introduction: International institutions have emphasised the role of midwives in ensuring women health, which guarantees family health and its physical, psychological, social, and spiritual aspects. The integration of midwifery knowledge with psychology is a good opportunity for the patients and healthcare providers. Distraction technique is a psyc...
Article
Full-text available
Background: Surgical energy injuries are an underappreciated phenomenon. Improper use of surgical energy or poor attention to patient safety can result in operating room fires, tissue injuries, and interferences with other electronic devices, while rare complications can be devastatingly severe. Despite this, there is no current standard requireme...
Article
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Background: Most sub-Saharan African countries have too few reproductive health (RH) specialists, resulting in high RH-related mortality and morbidity. In Kenya, task sharing in RH began in 2002, with the training of clinical officer(s)-reproductive health (CORH). Little is known about them and the extent of their role in the health system. Metho...
Article
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Objectives: To reviewe the etiology and management of urogenital fistulas at a tertiary care referral center. Methods: We retrospectively identified all patients with urogenital fistula referred to the King Fahad Medical City, Riyadh, Saudi Arabia, between January 2005 and July 2016 from electronic records. We collected data on age, parity, etio...
Article
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Background: Although pregnancy-related laparotomy is a major intervention, literature is limited to small case-control or single center studies. We aimed to identify national incidence rates for postpartum laparotomy related to severe acute maternal morbidity (SAMM) in a high-income country and test the hypothesis that risk of postpartum laparotom...
Article
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Health Care Associated Infection (HCAI) is one of the leading cause of mortality and morbidity in hospital and otherhealth care facilitiy. Hand hygiene is the main way to reduce incidence of HCAI. World Health Organization (WHO)recommends alcohol-based handrub because it is more acceptable and tolerable than other hand hygiene products.WHO has iden...
Article
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Endometriosis is the presence of functioning endometrium outside the basement membrane of the uterine endometrium. It affects women of reproductive age and usually presents as a painful nodule over a period of 3 months to 10 years after surgery. Extrapelvic endometriosis is uncommon and more difficult to diagnose due to its variable presentation an...
Article
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WHAT'S ALREADY KNOWN ABOUT THIS TOPIC? Fetal surgery is entering mainstream clinical care as a specialty that introduces an exciting range of new treatments for mothers and their unborn babies. The conflict between maternal autonomy and interests in fetal health is relatively well‐known. How does fetal surgery affect this issue? WHAT DOES THIS STUD...
Article
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Background Surgical site infections (SSI) are one of the most common healthcare associated infections in the low-middle income countries. Data on incidence and risk factors for SSI following surgeries in general and Obstetric and Gynecological surgeries in particular are scare. This study set out to identify risk factors for SSI in patients undergo...
Article
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Background: In sub-Saharan Africa, neonatal mortality post-cesarean delivery is higher than the global average. In this region, most emergency cesarean sections are performed at district hospitals. This study assesses maternal predictors for poor neonatal outcomes post-emergency cesarean delivery in three rural district hospitals in Rwanda. Metho...
Book
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This current book puts forward a myriad of cases that has been long discussed in the field of medicine and surgery. The themes that run throughout this book mainly are related to the field of Mainly Surgery, Obstetrics, Orthopaedics, Psychiatry, Radiology, Ophthalmology and Otorhinolaryngology field. Each case that is presented in this book is uniq...
Article
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After decades on the margins of primary health care, surgical and anaesthesia care is gaining increasing priority within the global development arena. The 2015 publications of the Disease Control Priorities third edition on Essential Surgery and the Lancet Commission on Global Surgery created a compelling evidenced-based argument for the fundamenta...
Article
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Background: Multiple choice question (MCQ) assessments are becoming popular means to assess knowledge for many screening examinations among several fields including Medicine. The single best answer MCQs may also test higher-order thinking skills. Hence, MCQs remain useful assessment gadget. Objectives: 1) To evaluate Multiple Choice Questions for t...
Article
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Acquired non-hormonal clitoromegaly is a rare condition and is due to benign or malignant tumours and sometimes idiopathic. Few cases of clitoral abscesses have been reported after female circumcision. We hereby report a case of clitoral abscess causing acquired clitoromegaly following an obstetrical surgery.
Article
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The aim of our study was to assess the theoretical and practical knowledge of French obstetricians about the surgical management of postpartum haemorrhage (PPH). Our study is a national anonymous self-administered survey. A total of 363 obstetricians responded to this questionnaire between December 2013 and April 2014. Questionnaire sent through em...
Article
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ERAS approach (Enhanced Recovery After Surgery) is a multimodal, perioperative pathway designed to achieve early recovery after surgery. ERAS has shown documented efficacy in elective surgery, and the concept of “multimodal” and “multidisciplinary” approach seems still to be of higher importance than each single item within ERAS protocols. New pers...
Article
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Objective: to understand the episiotomy rate and its relationship with various clinical variables. Method: a descriptive, cross-sectional, analytic study of 12,093 births in a tertiary hospital. Variables: Parity, gestational age, start of labor, use of epidural analgesia, oxytocin usage, position during fetal explusion, weight of neonate, and com...
Article
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Background: Many Web-based health care platforms allow patients to evaluate physicians by posting open-end textual reviews based on their experiences. These reviews are helpful resources for other patients to choose high-quality doctors, especially in countries like China where no doctor referral systems exist. Analyzing such a large amount of use...
Article
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Background: The risk factors contributing to maternal mortality from anaesthesia in low-income and middle-income countries and the burden of the problem have not been comprehensively studied up to now. We aimed to obtain precise estimates of anaesthesia-attributed deaths in pregnant women exposed to anaesthesia and to identify the factors linked to...
Chapter
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Article
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Background: The World Health Organization (WHO) recommended physician to population ratio is 23:10,000. Kenya has a physician to population ratio of 1.8:10,000 and is among 57 countries listed as having a serious shortage of health workers. Approximately 52% of physicians work in urban areas, 6% in rural and 42% in peri-urban locations. This study...
Article
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Background Obstetric fistula affects a woman’s life physically, psychosocially, and economically. Although surgery can repair the physical damage of fistula, the devastating consequences that affect a woman’s quality of life may persist when she reintegrates into her community. This qualitative study assessed long-term outcomes among women who unde...
Article
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Background The aim of this study was to investigate the feasibility and clinical value of transvaginal surgical treatment for cesarean scar pregnancy (CSP-II). Material/Methods This study was a retrospective analysis of 25 CSP-II patients who received transvaginal surgical treatments. These patients were admitted in our hospital between January 20...
Article
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Background: Significant changes have been noted in aspects of obstetrics-gynecology (ob-gyn) training over the last decade, which is reflected in Accreditation Council for Graduate Medical Education (ACGME) operative case logs for graduating ob-gyn residents. Objective: We sought to understand the changing trends of ob-gyn residents' experience in...
Article
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Several outcomes of pregnancy after bariatric surgery are currently being studied. This cross-sectional, retrospective study evaluated the obstetric and perinatal outcomes of pregnancies in 19 women who underwent bariatric surgery, as well as the growth and development of their children, in the Southern Brazil. Among these women, 11 children were b...
Article
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Objective: To analyze the management of urological complications of gynecologic and obstetric surgeries. Material and Methods: We retrospectively studied 39 patients hospitalized in the Department of Urology of the Conakry Teaching Hospital for urological complications of gynecologi-cal surgery, during 9 years. The epidemiological, diagnostic, surg...
Article
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Objective: The aim is to check the adaption of the obstetric clinical practise and the recommendations of the Strategy Normal Birth Care. Persons, material and methods: This has been a descriptive, transversal and analytical study of the obstetrical activity of 12,093 childbirths which took place between 2011 and 2012 in the Clinical University Hos...
Article
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Recto-neovaginal fistula is an abnormal communication formed between the rectum and newly formed vagina, following vaginoplasty for vaginal agenesis. It results in soiling of neovagina by fecal matter and inflicts great deal of physical, social and psychological handicap on the sufferer and is one of the most dehumanizing conditions that affect wom...
Article
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OBJETIVO: Validar questionário para conhecer e descrever a percepção dos médicos especialistas em ginecologia e obstetrícia quanto à vivência e autoconfiança no atendimento de emergências no parto vaginal. MÉTODOS: Estudo prospectivo de validação de instrumento constituído por afirmativas sobre atendimento nas emergências: parto pélvico (n=23), di...
Article
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Objective: To study the epidemiology and current trend in the management of urologic complications following obstetric and gynaecologic surgeries at CUUA University hospital of Cotonou. Patients and Methods: It was a retrospective study of patients referred with urologic complications following obstetric and gynaecological surgeries. The study took...