A 5-year audit of diagnostic gynaecologic laparoscopy under conscious sedation at the university college hospital, Ibadan

Adesina, Olubukola Adeponle; Obajimi, Gbolahan Oladele; Abo-Briggs, T

doi:10.4103/tjog.tjog_15_18

Cited by 2 publications

(1 citation statement)

References 5 publications

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“…1 Laparoscopy has become a vital tool in both operative and diagnostic gynaecological procedures as it provides excellent visualization of the pelvic structure. 2 Being less invasive, laparoscopy is safe and results in smaller and cosmetically acceptable wound, less pain, short hospital stay and speedy return to normal life.…”

Section: Introductionmentioning

confidence: 99%

Role of laparoscopic surgery in gynecology.

Rubina Akhtar,

Rukhsana Karim,

Zoopah Inayat

2023

TPMJ

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Objective: Technological advancements extend the range of indications for gynecological laparoscopy. We are presenting the outcome of our experiences with gynaecological laparoscopies and assessed rate, indications, complications and its benefits in a teaching hospital. Study Design: Retrospective Observational study. Setting: MTI Hayatabad Medical Complex Peshawar. Period: January 2021 to December 2021. Material & Methods: we performed laparoscopic procedure for a total of 222 patients and all were included in the study. Laparoscopic surgeries were performed under general anesthesia. Successful creation of the pneumoperitoneum was done 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, 908 major gynaecological operations including 222 laparoscopies were performed. This gave the rate of 24.45% laparoscopies per 100 operations. Diagnostic laparoscopies were performed in 195 (87.84%) cases and operative were in 27 (12.16%) cases. Complications were only in 5 of the cases, two being of major nature. A ureteric ligation occurred during laparoscopic hysterectomy resulting in conversion of laparoscopic surgeries into open surgery and another was during cystectomy due to excessive bleeding. Conclusion: Laparoscopic surgery propounds unique benefits including 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.

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Section: Introductionmentioning

confidence: 99%

Role of laparoscopic surgery in gynecology.

Rubina Akhtar,

Rukhsana Karim,

Zoopah Inayat

2023

TPMJ

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An Audit of Gynecological Surgeries Performed at the University College Hospital, Ibadan, Southwest Nigeria

Salufu,

Adewumi,

Olayemi

2024

Int J Med Health Dev

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Background: Audit in a clinical setting is the collection of data for the purpose of setting professional standards, assessing clinical performances and modifying the clinical practice which is not routinely done in developing countries, including Nigeria. Audit of gynecologic surgeries in University College Hospital (UCH), Ibadan, was necessary to provide opportunities for improvement. Objectives: To determine the total number of gynecologic surgeries performed at UCH, the commonest surgeries performed at the hospital; and the cadres of surgeons who performed the surgeries especially the lead surgeons. Materials and Methods: This was a descriptive retrospective study of gynecologic surgeries carried out at the obstetrics and gynecology department of UCH, Ibadan, over a 5-year period. Data collected from theater records were entered into SPSS 24.0 software, cleaned and analysis performed. Results: There were 3790 gynecologic surgeries during the review period, in which outpatient gynecologic surgeries (surgical day or minor cases) accounted for the majority 53% (n = 2007), while major gynecological surgeries accounted for 47% (n = 1783). Cervical biopsy was the commonest surgical day (minor) procedure (541/2007, 27%), while abdominal myomectomy (517/1783, 29%) was the most performed major gynecologic surgery. Resident doctors performed most of the minor procedures, 73.7% (1476/2003), while the consultants led majority of the major procedures, 73.2% (1399/1910). Conclusion: A high number of gynecological surgeries were performed at UCH, Ibadan, under the period of review. Cervical biopsy and abdominal myomectomy were the commonest performed minor and major cases, respectively. Most minor cases were performed by Resident doctors while consultants performed most of the major cases. The high number of surgical cases performed could be an indication of the effectiveness of the healthcare delivery and training in the hospital.

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A 5-year audit of diagnostic gynaecologic laparoscopy under conscious sedation at the university college hospital, Ibadan

Cited by 2 publications

References 5 publications

Role of laparoscopic surgery in gynecology.

Role of laparoscopic surgery in gynecology.

An Audit of Gynecological Surgeries Performed at the University College Hospital, Ibadan, Southwest Nigeria

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