A retrospective study of clinicopathological profile of carcinoma cervix and incidence of various postoperative complications (original) (raw)
Introduction: With the intensified screening and availability of advanced modalities of treatment, the treatment outcomes and the occurrence of various post-operative complications of cervical cancer is constantly changing. Materials and Methods: The current study was a retrospective case record review of all the cervical cancer cases diagnosed in the department of oncology/ gynaecology, Dhana Lakshmi Srinivasan medical college Hospital, Permabalur, South India, diagnosed between January 2016 to December 2017. The socio-demographic, clinical findings, histopathological findings, incidence and management of postoperative complications were documented using a structured proforma. The data were analyzed using IBM SPSS statistical software. Results: A total of 60 cases of cervical cancer were included in the final analysis. The youngest women were 34 years old and mean age was 52.48 ± 10.55 years. The majority (85%) of the women had stage I B, with squamous cell carcinoma as the most common histopathological type in 76.67% of the women. Radical hysterectomy with bilateral pelvic lymph node dissection was performed in 80% of participants. Overall 85% (95% CI 73.89 to 91.9%) of the subjects had postoperative complications. Suprapubic fibrosis (40%) Bilateral Lymphedema (35%), were the commonest post-operative complications. The procedures performed to treat post-operative complications were mesh repair (5%) and USG guided aspiration (5%) Laparotomy with adehesiolysis. Conclusions: The incidence of postoperative complications was very high and a major portion of them can be attributed to radiotherapy. There is a need for further large-scale studies to evaluate the interventions without radiotherapy for their efficacy and safety.
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