Laparoscopic Surgery in Gynaecology
Background: With the advent of technological advancements, the indications for gynecological laparoscopy are increasing. We evaluated the results of our experiences with gynaecological laparoscopies and assessed rate, indications, complications and benefits in a teaching hospital. Methods: In this r...
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| Format: | Article |
| Language: | English |
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Rawalpindi Medical University
2015-12-01
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| Series: | Journal of Rawalpindi Medical College |
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| Online Access: | https://www.journalrmc.com/index.php/JRMC/article/view/243 |
| _version_ | 1818834205720707072 |
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| author | Attiya Begum |
| author_facet | Attiya Begum |
| author_sort | Attiya Begum |
| collection | DOAJ |
| description | Background: With the advent of technological advancements, the indications for gynecological laparoscopy are increasing. We evaluated the results of our experiences with gynaecological laparoscopies and assessed rate, indications, complications and benefits in a teaching hospital.
Methods: In this retrospective observational study, a total of 137 patients had laparoscopic procedure done during the period January 2011 to December 2014 and were included in the study. Laparoscopic surgeries were performed under general anesthesia. Successful creation of the pneumoperitoneum was created with the help of Veress needle, mostly by closed access technique and occasionally with the open method. Secondary ports were introduced under direct vision. After completing the surgery laparoscope and secondary ports were removed under direct vision to minimize any iatrogenic insult.
Results: During the study period, 874 major gynaecological operations and 137 laparoscopies were performed. This gave the rate of 15.6% laparoscopies per 100 operations. Diagnostic laparoscopies were 48 (35%), operative were 89 (65%) and 8 (5.8%) laparoscopies were converted into open surgery due to technical difficulties. Complications were 8 (5.8%), majority being of minor nature except one major complication being a bladder injury.
Conclusion: Laparoscopic surgery offers unique benefits. These are establishing definite diagnosis, mobilization and speedy recovery, minimal complications, less cost and shorter hospital stay. In young patients, laparoscopy helps in preserving their fertility with better prognosis in contrast to open surgery. |
| first_indexed | 2024-12-19T02:31:07Z |
| format | Article |
| id | doaj.art-c97f945e182c4b77bafc993b0e65bad7 |
| institution | Directory Open Access Journal |
| issn | 1683-3562 1683-3570 |
| language | English |
| last_indexed | 2024-12-19T02:31:07Z |
| publishDate | 2015-12-01 |
| publisher | Rawalpindi Medical University |
| record_format | Article |
| series | Journal of Rawalpindi Medical College |
| spelling | doaj.art-c97f945e182c4b77bafc993b0e65bad72022-12-21T20:39:38ZengRawalpindi Medical UniversityJournal of Rawalpindi Medical College1683-35621683-35702015-12-01193Laparoscopic Surgery in GynaecologyAttiya Begum0Department of Obstetrics and Gynaecology, Holy Family Hospital and Rawalpindi Medical CollegeBackground: With the advent of technological advancements, the indications for gynecological laparoscopy are increasing. We evaluated the results of our experiences with gynaecological laparoscopies and assessed rate, indications, complications and benefits in a teaching hospital. Methods: In this retrospective observational study, a total of 137 patients had laparoscopic procedure done during the period January 2011 to December 2014 and were included in the study. Laparoscopic surgeries were performed under general anesthesia. Successful creation of the pneumoperitoneum was created with the help of Veress needle, mostly by closed access technique and occasionally with the open method. Secondary ports were introduced under direct vision. After completing the surgery laparoscope and secondary ports were removed under direct vision to minimize any iatrogenic insult. Results: During the study period, 874 major gynaecological operations and 137 laparoscopies were performed. This gave the rate of 15.6% laparoscopies per 100 operations. Diagnostic laparoscopies were 48 (35%), operative were 89 (65%) and 8 (5.8%) laparoscopies were converted into open surgery due to technical difficulties. Complications were 8 (5.8%), majority being of minor nature except one major complication being a bladder injury. Conclusion: Laparoscopic surgery offers unique benefits. These are establishing definite diagnosis, mobilization and speedy recovery, minimal complications, less cost and shorter hospital stay. In young patients, laparoscopy helps in preserving their fertility with better prognosis in contrast to open surgery.https://www.journalrmc.com/index.php/JRMC/article/view/243Gynaecologylaparoscopydiagnostioperative rate |
| spellingShingle | Attiya Begum Laparoscopic Surgery in Gynaecology Journal of Rawalpindi Medical College Gynaecology laparoscopy diagnosti operative rate |
| title | Laparoscopic Surgery in Gynaecology |
| title_full | Laparoscopic Surgery in Gynaecology |
| title_fullStr | Laparoscopic Surgery in Gynaecology |
| title_full_unstemmed | Laparoscopic Surgery in Gynaecology |
| title_short | Laparoscopic Surgery in Gynaecology |
| title_sort | laparoscopic surgery in gynaecology |
| topic | Gynaecology laparoscopy diagnosti operative rate |
| url | https://www.journalrmc.com/index.php/JRMC/article/view/243 |
| work_keys_str_mv | AT attiyabegum laparoscopicsurgeryingynaecology |