Contribution of Laparoscopy in the Management of Female Infertility in Low Resource Countries: A Review of 208 Cases at the Yaound&amp;#233; General Hospital, Cameroon

Ngowa, Jean Dupont Kemfang; Kasia, Jean Marie; Nkongo, Victorine; Ngassam, Anny; Tsuala, Jovanny Fouogue; Nsem, Philemon; Medou, A

doi:10.4236/ijcm.2015.612122

Cited by 5 publications

(3 citation statements)

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“…This is similar to studies conducted by Bello et al [32]. This result is also similar to that of Kemfang et al [33] on the knowledge, attitudes and practices of Health Professionals on Breast Cancer at Yaoundé General Hospital, Cameroon. The fact that a significant proportion of the staff consider that cervical cancer screening can be done using cervical biopsy suggests a capacitybuilding of those healthcare professionals to biopsy technique, mostly those who are likely to receive patients during mass screening campaigns.…”

Section: Discussionsupporting

confidence: 92%

Descriptive epidemiology of uterine cervix cancer at the medical oncology unit of the Yaoundé general hospital-Cameroon

Nguendo

Tchinda

2019

GSC Biol. and Pharm. Sci.

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Uterine cervix cancer is the most common cancer found worldwide, mostly in developing countries. In Africa as well as in the Caribbean, it represents the second cause of mortality, just after maternal mortality. In Cameroon, data on cervix cancer are erratic, whereas the incidence of the disease is increasing. This paper is designed to define the epidemiological features of uterine cervix cancer, since it could help identifying behavioral, environmental and genetic risks factors involved in its development. A 4-year retrospective study of patients seen with the diagnosis of cervix cancer at the Medical Oncology unit of the Yaoundé General Hospital between January 2012 and December 2015. Then a prospective study was conducted among health professionals working in the same oncological unit in 2017. The demographic pattern (age of patients, socio professional activity, marital status), clinical features (cancer diagnosis), treatment modalities and outcome were studied. Of the 7775 patients enrolled in the study, 3.61% (n = 281) were carriers of uterine cervix cancer. We noted a relatively large annual growth of cases and the annual average was 27 cases. The average age of our patients was 55.46 years with extreme ages ranging from 23 to 88 years Carcinoma of the cervix occurs much more frequently among women of lower income and education level. Although several risk factors were suspected in our study such as age, sexual factors (including STIs), none of them really testify their responsibility in the genesis of the cancer. However, improving the effective management of different patients suffering from cervix cancer requires an improvement in the conditions for the early and voluntary detection of people at risk, and the quality of care administered to patients.

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Section: Discussionsupporting

confidence: 92%

Descriptive epidemiology of uterine cervix cancer at the medical oncology unit of the Yaoundé general hospital-Cameroon

Nguendo

Tchinda

2019

GSC Biol. and Pharm. Sci.

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“…This applies to surgical care but is particularly true for laparoscopic surgery which has been proven to be superior to traditional open surgery in terms of minimal perioperative morbidity, lower overall costs, better cosmesis, reduced blood lost, reduced postoperative pain and hospital stay duration, with consequent quick postoperative recovery [ 4 , 5 ]. Laparoscopy has been introduced in Cameroon in 1992 and is currently practiced in five public and eight private hospitals [ 6 - 11 ]. To the best of our knowledge, no study has evaluated the satisfaction of patients with the process of care during laparoscopic surgery.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of patients�satisfaction after laparoscopic surgery in a tertiary hospital in Cameroon (Africa)

Fouogue¹,

Tchounzou²,

Fouelifack³

et al. 2017

Pan Afr Med J

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IntroductionAccess to laparoscopy is low in Cameroon where customers' satisfaction has not been reported so far. We assessed patients' satisfaction with the process of care during laparoscopic surgery in a new tertiary hospital.MethodsA questionnaire was addressed to consenting patients (guardians for patients under 18) with complete medical records who underwent laparoscopy at the Douala Gynaeco-Obstetric and Paediatric Hospital (Cameroon) from November 1, 2015 to July 31, 2016. The following modified Likert's scale was used to assess satisfaction: very weak: 0-2.5; weak 2.6-5; good: 5.1-7.5; very good: 7.6-10. Only descriptive statistics were used.ResultsResponse rate was 90% (45/50). Of the 45 respondents, 39 (86.7%) were female, 14(31.1%) were referred and 39 (86.7%) paid by direct cash deposit. Mean age was 36.8±11.9 years. Laparoscopies were carried out in emergency for 3 (6.7%) patients. Digestive abnormalities indicated 13 (28.9%) laparoscopies while gynaecologic diseases accounted for 32 (71.1%) cases. Perception of the overall care process was good with a mean satisfaction score of 6.8 ± 1.4. Scores in categories were: 0% (Very weak); 13.3% (weak); 57.8% (good) and 28.9% (very good). Specifically mean satisfaction scores were: 7.8 ± 1.0 with doctors' care; 7.1 ± 1.3 with hospital administration; 7.0 ± 1.2 with nursing and 4.7 ± 1.4 with the costs. Main complaints were: long waiting time (73.3%), constraining geographical access (66.7%) and expensiveness (48.9%).ConclusionPatients were globally satisfied with the process of care but financial and geographical barriers should be addressed.

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“…The predominance of a female factor was seen in both primary and secondary infertility, but the female factor was significantly higher in secondary infertility than in primary infertility. This was explained by Ngowa et al, 6 where they suggested that pelvic infection resulting from ascending infection during childbirth can lead to tubal damage and thus higher contribution to the incidence in the female factors in secondary infertility.…”

Section: Discussionmentioning

confidence: 98%

Diagnostic Hysterolaparoscopy in the Evaluation of Female Factor Infertility: A Cross-sectional Study at a Tertiary Care Hospital in Central India

Selvaraj¹,

Parpillewar²,

Fidvi³

2020

International Journal of Infertility &Amp; Fetal Medicine

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Background: Infertility is a worldwide problem affecting people of all geographical location and socioeconomic status. It is estimated that globally 60-80 million couples suffer from infertility every year. The main objective of the study is to detect the diagnostic efficacy of hysterolaparoscopy in evaluating the tubal, uterine, ovarian, and pelvic pathologies causing infertility and also compare the findings of a hysterosalpingogram with diagnostic laparoscopy in evaluating the tubal factor infertility. Materials and methods: This hospital-based cross-sectional study included an evaluation of 1,456 couples presenting with complaints of infertility at the Outpatient Department of Government Medical College, Nagpur during the period of February 2016 to September 2018. After thorough gynecological examination and investigations, 130 infertile women were posted for diagnostic hysterolaparoscopy. All the data were collected on predesigned proforma and the results were tabulated and raw percentages calculated to describe the results. Results: Among the 130 infertile women, 102 women (78.46%) had primary and 28 (21.53%) had secondary infertility. The maximum number of patients belonged to the age group of 26-30 years (39.23%). About 56% of patients were in the active marriage life of 3-5 years duration. Most of them had multiple factors affecting their fertility. Out of the 130 infertile women, 32 patients (24.62%) had uterine factors, 44 patients (33.84%) had peritoneal factors, 67 patients (51.5%) had ovarian factors, and 89 patients (68.46%) had tubal factors. Only eight patients (6.15%) had normal findings in laparoscopy. Out of the 130 patients, 122 (93.84%) had more than one factor causing infertility. About 26.15% of patients had positive findings in diagnostic hysteroscopy. Conclusion: Hysterolaparoscopy provides both a panoramic view of the pelvic reproductive anatomy and also a magnified view of the pelvic organs and peritoneal surfaces. It is generally regarded as the most reliable tool in the diagnosis of tubal pathology and other intra-abdominal causes of infertility because of the correctable abnormalities like endometriosis, adnexal adhesions, and septate uterus which are usually missed, are usually identified that helps in formulating a specific plan of management.

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Contribution of Laparoscopy in the Management of Female Infertility in Low Resource Countries: A Review of 208 Cases at the Yaoundé General Hospital, Cameroon

Cited by 5 publications

References 20 publications

Descriptive epidemiology of uterine cervix cancer at the medical oncology unit of the Yaoundé general hospital-Cameroon

Descriptive epidemiology of uterine cervix cancer at the medical oncology unit of the Yaoundé general hospital-Cameroon

Evaluation of patients�satisfaction after laparoscopic surgery in a tertiary hospital in Cameroon (Africa)

Diagnostic Hysterolaparoscopy in the Evaluation of Female Factor Infertility: A Cross-sectional Study at a Tertiary Care Hospital in Central India

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