DOI: 10.36347/sjams.2020.v08i12.049

Pages: 2945-2949

Background: Cervical cancer is a significant health concern for women worldwide, especially in low- and middle-income countries like Bangladesh, due to limited screening, poor health literacy, and restricted access to specialized care. Many women in resource-limited settings undergo inappropriate hysterectomies under the assumption of benign conditions. These non-oncologic surgeries can result in incomplete tumor removal, delayed diagnosis, and compromised treatment outcomes. Misdiagnosis and surgical errors significantly increase recurrence risk, morbidity, and mortality. Aim of the study: This study aims to evaluate the short-term outcomes of patients who underwent inappropriate surgery for cervical cancer, with follow-up data collected over a period exceeding one year. Methods: This retrospective observational study assessed the short-term outcomes of 20 female patients with histologically confirmed cervical cancer who underwent inappropriate surgical procedures from 2016 to 2019 at BSMMU and Central Hospital, Dhaka. Inclusion criteria included non-radical hysterectomies performed without oncologic planning or diagnosis. Data were collected from medical records using a structured form, including demographics, clinical presentation, surgical details, and follow-up outcomes. Short-term outcomes focused on recurrence and survival after at least one year of follow-up. Results: In this study of 20 patients who underwent inappropriate surgery for cervical cancer, most were middle-aged or older and had high parity. Vaginal bleeding was the most common presenting symptom (70%). The majority (70%) received a total abdominal hysterectomy with bilateral salpingo-oophorectomy, suggesting overtreatment. All patients required adjuvant chemo/radiation, and 50% needed re-operation to correct initial management. Post-treatment outcomes were poor, with only 40% alive and disease-free, 10% deceased within a year, and 10% lost to follow-up. Conclusion: Inappropriate surgical managem