Asian Journal of Research in Surgery

Tailoring Gynecological Surgical Techniques to Bangladeshi Patients: A Cross-Sectional Study Assessing Global Advancements, Local Challenges, and Post-Operative Outcomes

Rokaya Jebin Binti

Department of Public Health, First Capital University of Bangladesh,Chuadanga-7200, Bangladesh.

Sharmin Akter

Central Medical College, Cumilla-3500, Bangladesh.

Sazin Islam *

Department of Public Health, First Capital University of Bangladesh,Chuadanga-7200, Bangladesh.

Suzan Kumar Paul

Department of Public Health, First Capital University of Bangladesh,Chuadanga-7200, Bangladesh.

Mourry Tania

Department of Public Health, First Capital University of Bangladesh,Chuadanga-7200, Bangladesh.

Rima Khatun

Department of Public Health, First Capital University of Bangladesh,Chuadanga-7200, Bangladesh.

*Author to whom correspondence should be addressed.

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Abstract

Background: Gynecological surgical techniques have seen significant global advancements in recent years. This study aimed to understand the degree to which these innovations align with the unique socio-cultural, anatomical, and physiological challenges of Bangladeshi patients and to assess the efficacy of locally adapted procedures.

Methods: A cross-sectional study was conducted with a sample size of 1492 Bangladeshi women, focusing on their awareness of global advancements, the unique challenges they face, the local adaptations of surgical techniques they underwent, and post-operative outcomes.

Results: 56.4% of participants reported awareness of global advancements. Major challenges identified were socio-cultural barriers (43.6%) and anatomical/physiological concerns (38.7%). 65.1% underwent surgeries with local adaptations, especially prevalent in rural areas (72.4%). Surgeries with local adaptations showed a 92% success rate, reduced post-operative complications, and shorter average recovery time by 2 days compared to standardized global techniques.

Conclusion: While global innovations in gynecological surgeries provide foundational knowledge, the superior outcomes of locally adapted techniques emphasize the importance of tailoring these advancements to the specific needs and challenges of Bangladeshi patients. The study underscores the paramount significance of contextualizing medical interventions to optimize health outcomes in diverse settings.

Keywords: Gynecological surgery advancements, Bangladeshi patients, socio-cultural barriers, local surgical adaptations, post-operative outcomes

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