Abstract
Objectives: Unplanned return to the operating theatre refers to an unplanned reoperation following a primary surgical procedure and can result in serious complications. The rate of unplanned reoperations is often used as a measure of in-hospital quality monitoring and improvement. This study aimed to review the prevalence rate and features of unplanned gynaecological reoperations at a major general hospital in Jordan. Methods: This retrospective study took place between January 2011 and January 2018 at The Specialty Hospital in Amman, Jordan. The medical records of all women who underwent unplanned reoperations following a primary gynaecological procedure during this period were reviewed. Results: A total of 4,895 primary gynaecological procedures were performed during the study period, of which 4,175 (85.3%) were elective and 720 (14.7%) were emergency operations. There were 15 unplanned reoperations (0.3%); of these, 14 (93.3%) followed elective procedures and one (6.7%) followed an emergency surgery. Most reoperations were performed following hysterectomies (53.3%). Bleeding was the predominant reason for reoperation (93.3%), with the source of the bleeding successfully identified in 71.3% of cases. In terms of outcome, none of the cases required a subsequent reoperation and there were no mortalities. Conclusion: The rate of unplanned reoperation at a hospital in Jordan was 0.3%. Unplanned reoperations occurred primarily as a result of bleeding following hysterectomies. Development of care pathways may reduce surgical complications and rates of unplanned reoperation.
Publication details
- DOI
- 10.18295/squmj.2020.20.04.014
- Journal
- Sultan Qaboos University Medical Journal, 20(4), e368-373
- Publisher
- Sultan Qaboos University
- Open access
- Gold open access
- License
- CC BY-ND 4.0
Cite this article
APA 7
Abu Mahfouz, I., Abu Shabab, I., Abu Saleem, H., Abu Mahfouz, S., Shehab, Q., & Asali, F. (2025). Unplanned Reoperation Following Gynaecological Surgeries: A report from Jordan. Sultan Qaboos University Medical Journal, 20(4), e368-373. https://doi.org/10.18295/squmj.2020.20.04.014
MLA 9
Abu Mahfouz, Ismaiel, et al. "Unplanned Reoperation Following Gynaecological Surgeries: A report from Jordan." Sultan Qaboos University Medical Journal, vol. 20, no. 4, 2025, pp. e368-373. https://doi.org/10.18295/squmj.2020.20.04.014.
Chicago (author–date)
Abu Mahfouz, Ismaiel, Ibtehal Abu Shabab, Heba Abu Saleem, Salem Abu Mahfouz, Qasem Shehab, and Fida Asali. 2025. "Unplanned Reoperation Following Gynaecological Surgeries: A report from Jordan." Sultan Qaboos University Medical Journal 20 (4): e368-373. https://doi.org/10.18295/squmj.2020.20.04.014.
Harvard
Abu Mahfouz, I., Abu Shabab, I., Abu Saleem, H., Abu Mahfouz, S., Shehab, Q. and Asali, F. (2025) 'Unplanned Reoperation Following Gynaecological Surgeries: A report from Jordan', Sultan Qaboos University Medical Journal, 20(4), pp. e368-373. doi:10.18295/squmj.2020.20.04.014.
Vancouver
Abu Mahfouz I, Abu Shabab I, Abu Saleem H, Abu Mahfouz S, Shehab Q, Asali F. Unplanned Reoperation Following Gynaecological Surgeries: A report from Jordan. Sultan Qaboos University Medical Journal. 2025;20(4):e368-373. doi:10.18295/squmj.2020.20.04.014
IEEE
I. Abu Mahfouz, I. Abu Shabab, H. Abu Saleem, S. Abu Mahfouz, Q. Shehab, and F. Asali, "Unplanned Reoperation Following Gynaecological Surgeries: A report from Jordan," Sultan Qaboos University Medical Journal, vol. 20, no. 4, pp. e368-373, 2025, doi: 10.18295/squmj.2020.20.04.014.