Clinical practice of mininally invasive gynaecological surgeries

Introduction: Endoscopic gynaecological surgery which is a routine practice in outer world since last 40 years, is still at earlier phase in Nepal. This study was done to know the clinical practice of minimally invasive gynaecological surgeries in Minimally Invasive Diagnostic and Therapeutic (MIDAT...

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Main Authors: Binaya Raj Bhandari, Ranjana Shrestha, Binita Pradhan
Format: Article
Language:English
Published: Society of Surgeons of Nepal 2018-12-01
Series:Journal of Society of Surgeons of Nepal
Subjects:
Online Access:https://www.nepjol.info/index.php/JSSN/article/view/24356
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author Binaya Raj Bhandari
Ranjana Shrestha
Binita Pradhan
author_facet Binaya Raj Bhandari
Ranjana Shrestha
Binita Pradhan
author_sort Binaya Raj Bhandari
collection DOAJ
description Introduction: Endoscopic gynaecological surgery which is a routine practice in outer world since last 40 years, is still at earlier phase in Nepal. This study was done to know the clinical practice of minimally invasive gynaecological surgeries in Minimally Invasive Diagnostic and Therapeutic (MIDAT) hospital. Methods: A hospital based descriptive study was conducted in gynaecological department of MIDAT hospital over 16 months period from 1st Bhadra 2071 to 30th Poush 2072 (17th August 2014 to 14th January 2016) among 115 women who underwent minimally invasive gynaecological surgeries (MIGS). Patient demographics, types of surgeries, indications of laparoscopy and hysteroscopy, reason for laparoscopic conversion, complications of surgeries and hospital stay were analyzed. Results: There were total 115 minimally invasive gynaecological surgeries done in MIDAT hospital during study period. Laparoscopic gynaecological surgeries and hysteroscopy were performed in 86 (75%) and in 29 (25%) women respectively. Among laparoscopy, laparoscopic hysterectomy {31 (36%)} was the more common operation. During laparoscopy, conversion to open was done in nine (10.5%) patients. Complications of MIGS were seen in three (3.5%) women. Conclusions: MIGS has acceptable morbidity, smooth post operative recovery and shorter hospital stay. In recent time, MIGS is gradually becoming popular in Nepal.
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spelling doaj.art-1d79f02a17444d03b457088c1579cd092022-12-21T21:10:23ZengSociety of Surgeons of NepalJournal of Society of Surgeons of Nepal1815-39842392-47722018-12-0121210.3126/jssn.v21i2.24356Clinical practice of mininally invasive gynaecological surgeriesBinaya Raj Bhandari0Ranjana Shrestha1Binita Pradhan2MIDAT Hospital, Lalitpur, NepalKathmandu Model Hospital, Exhibition Road, Kathmandu, NepalPatan Academy of Health Sciences, Lalitpur, NepalIntroduction: Endoscopic gynaecological surgery which is a routine practice in outer world since last 40 years, is still at earlier phase in Nepal. This study was done to know the clinical practice of minimally invasive gynaecological surgeries in Minimally Invasive Diagnostic and Therapeutic (MIDAT) hospital. Methods: A hospital based descriptive study was conducted in gynaecological department of MIDAT hospital over 16 months period from 1st Bhadra 2071 to 30th Poush 2072 (17th August 2014 to 14th January 2016) among 115 women who underwent minimally invasive gynaecological surgeries (MIGS). Patient demographics, types of surgeries, indications of laparoscopy and hysteroscopy, reason for laparoscopic conversion, complications of surgeries and hospital stay were analyzed. Results: There were total 115 minimally invasive gynaecological surgeries done in MIDAT hospital during study period. Laparoscopic gynaecological surgeries and hysteroscopy were performed in 86 (75%) and in 29 (25%) women respectively. Among laparoscopy, laparoscopic hysterectomy {31 (36%)} was the more common operation. During laparoscopy, conversion to open was done in nine (10.5%) patients. Complications of MIGS were seen in three (3.5%) women. Conclusions: MIGS has acceptable morbidity, smooth post operative recovery and shorter hospital stay. In recent time, MIGS is gradually becoming popular in Nepal.https://www.nepjol.info/index.php/JSSN/article/view/24356HysteroscopyMinimally invasive gynaecological surgeryLaparoscopy
spellingShingle Binaya Raj Bhandari
Ranjana Shrestha
Binita Pradhan
Clinical practice of mininally invasive gynaecological surgeries
Journal of Society of Surgeons of Nepal
Hysteroscopy
Minimally invasive gynaecological surgery
Laparoscopy
title Clinical practice of mininally invasive gynaecological surgeries
title_full Clinical practice of mininally invasive gynaecological surgeries
title_fullStr Clinical practice of mininally invasive gynaecological surgeries
title_full_unstemmed Clinical practice of mininally invasive gynaecological surgeries
title_short Clinical practice of mininally invasive gynaecological surgeries
title_sort clinical practice of mininally invasive gynaecological surgeries
topic Hysteroscopy
Minimally invasive gynaecological surgery
Laparoscopy
url https://www.nepjol.info/index.php/JSSN/article/view/24356
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