Publication:

Co-relation of ASA-PS with post operative complications and morbidity in hysterectomy patients

Background Today, ASA grading is done for any surgical case performed under anesthesia. ASA PS is significantly associated with post-operative morbidity and mortality. For gynecologists, hysterectomy is the most common operation performed by gynecologists, next to caesarean section. The primary focus of this study was to review the ASA-PS of hysterectomy patients.

Methods This retrospective study was performed in the department of Anesthesiology, in collaboration with Department of Obstetrics and gynecology. All women who underwent hysterectomy were included in this study.

Results In this study, out of 100 patients, clinical indication was fibroid in 45 (45%) patients, menorrhagia in 15 (15%) patients, adenomyosis in 25 (25%) patients, uterovaginal prolapse in 5 (5%) patients, endometrial polyp in 5 (5%) patients and ovarian tumor in 5 (5%) patients. ASA-PS grade 1 was seen in 65 (65%) of patients, 25 (25%) of patients had ASA-PS grade 2, 10 (10%) of patients had ASA-PS grade 3 while none of the patients had ASA-PS grade 4 and 5. 4 (4%) patients had urinary tract infection, 2 (2%) patients had deep vein thrombosis, 1 (1%) patient had myocardial infarction and 1 (1%) patients had pneumonia. 25 (25%) patients were obese, 24 (24%) patients had diabetes, 20 (20%) patients had hypertension requiring treatment and 6 (6%) patients had wound infection.

Conclusions ASA PS has strong, independent association with post-operative medical complications. This along with its simplicity, makes it a valuable prognostic metric.