International Clinical and Medical Case Reports Journal (ISSN: 2832-5788) | Volume 4, Issue 9 | Research Article | Open Access DOI
Saira Waheed*
Specialty Registrar in Obstetrics & Gynaecology, York and Scarborough NHS Trust, Yorkshire
*Correspondence to: Saira Waheed
Fulltext PDFBackground: Hysterectomy is a common gynaecological procedure, with evolving practice favouring minimal access routes to improve patient outcomes. GIRFT recommends that no more than 25% of hysterectomies be performed as open procedures, with at least 50% of minimal access hysterectomies completed as day cases. Objective: To audit endometrial cancer hysterectomies performed at York site against GIRFT and BADS standards. Methods: A retrospective audit of 60 patients undergoing hysterectomy between January–December 2023 was conducted. Inclusion criteria: elective total laparoscopic hysterectomy (TLH) for endometrial cancer (n=27). Parameters included age, BMI, histology, cancer stage, planned and actual route of hysterectomy, blood loss, uterine size, conversion to open, and readmissions. Results: All patients were planned for TLH. Conversion to total abdominal hysterectomy (TAH) occurred in 14%. Median age was 60 years (range 30–86). Most procedures were completed laparoscopically, with day-case rates below GIRFT/BADS targets. Conclusion: While the majority of procedures were performed laparoscopically, conversion rates and day-case completion fell short of GIRFT and BADS standards. Recommendations include structured patient pathways, morning listing, SOP-driven recovery and discharge, MDT involvement, and patient preparation strategies to optimise outcomes.
Saira Waheed. Audit on Endometrial Cancer Hysterectomies against GIRFT and BADS Standards. Int Clinc Med Case Rep Jour. 2025;4(9):1-4.