Cost of Gynecologic Laparoscopy in Rural Western Kenya [21D]

Makin, Jennifer; Ramanathan, Aparna; Parkar, Rafique B; Burke, Thomas F.; Eckardt, Melody J.

doi:10.1097/01.aog.0000514367.99362.0b

Cited by 3 publications

(2 citation statements)

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“…This can pose challenges for those with symptomology who are living in rural areas. The diagnosis of endometriosis also requires laparoscopic surgery, which is not routinely available in most healthcare settings in Kenya because of the high upfront cost of medical equipment [45].…”

Section: Discussionmentioning

confidence: 99%

Living with Endometriosis: A Narrative Analysis of the Experiences of Kenyan Women

Bergen

Murimi²,

Gruer

et al. 2023

IJERPH

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Despite the high global prevalence of endometriosis, little is known about the experiences of women living with the disease in low- and middle-income contexts, including in Kenya and other countries across sub-Saharan Africa. This study captures the perspectives and recommendations of Kenyan women living with endometriosis through written narratives about the impact of the disease on their daily lives and their journeys through diagnosis and treatment. Thirty-seven women between the ages of 22 and 48 were recruited from an endometriosis support group in Nairobi and Kiambu, Kenya (February–March of 2022) in partnership with the Endo Sisters East Africa Foundation. Narrative data (written anonymous stories submitted through Qualtrics) were analyzed using a deductive thematic analysis methodology. Their stories revealed three themes related to their shared experiences with endometriosis: (1) stigma and disruption to quality of life, (2) barriers to acceptable healthcare, and (3) reliance on self-efficacy and social support to cope with the disease. These findings demonstrate a clear need for improved social awareness of endometriosis in Kenya and the establishment of clear, effective, and supportive pathways, with trained, geographically and financially accessible health care providers, for endometriosis diagnosis and treatment.

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Section: Discussionmentioning

confidence: 99%

Living with Endometriosis: A Narrative Analysis of the Experiences of Kenyan Women

Bergen

Murimi²,

Gruer

et al. 2023

IJERPH

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“…6 Across Africa, published articles from Ethiopia and Kenya indicated the usefulness of the technique. 7,8 In Nigeria, tertiary hospitals had reported on laparoscopy. 9 In the year 2009, 58 cases were reported over a 4year period from the National Hospital, Abuja with infertility as the commonest reason for the procedure.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopy for evaluation of infertility patients in a tertiary center in north-eastern Nigeria

et al. 2018

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Laparoscopy uses fiber optic endoscope passed through the abdominal wall to visualize the peritoneal cavity for both diagnosis and therapy; it is also referred to as Minimal Access Surgery. It is an important tool in the evaluation of infertility. The objective of this study is to determine the value of laparoscopy for evaluation and treatment of infertility patients in Bauchi. North east, Nigeria. This is a retrospective cross-sectional study of women who had evaluation using laparoscopy. The case files and theatre records of all the women who had laparoscopy over a 5-year period between the 21st February, 2012 and 20th January, 2017 were retrieved and analyzed. Data on age, parity, type of infertility, intra operative findings and type of procedures done were extracted using a proforma. Analysis was done using statistical package for social sciences (SPSS version 21, IBM). One hundred and thirty-seven women had laparoscopy and or hysteroscopy during the review period, retrieval rate was 98%. Mean age was 29 years ±SD. Median number of pregnancies was 2. Most of the women had laparoscopy for secondary infertility indicated by tubal or an ovarian factor. Thirty-two (32) women (23.4%) had normal study. Sixteen (16) interventional procedures (12%) were done during the study period ranging from ovarian cystectomy, adhesiolysis, salpingectomy and sterilization. There were nine (9) congenital abnormalities detected during the period. Fifteen (15) women had both hysteroscopy and laparoscopy. Three women (2.8%) had uterine perforation with only one converted to laparotomy giving an overall success of 97%. Laparoscopy has changed the perception of many gynecologists in the diagnosis and treatment of infertility from mere imaginative to definitive thoughts.

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Experience with Diagnostic Laparoscopy in the Evaluation of Tubal Factor Infertility

Annan¹,

Asubonteng²,

Konney³

2020

OJOG

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Cost of Gynecologic Laparoscopy in Rural Western Kenya [21D]

Cited by 3 publications

References 0 publications

Living with Endometriosis: A Narrative Analysis of the Experiences of Kenyan Women

Living with Endometriosis: A Narrative Analysis of the Experiences of Kenyan Women

Laparoscopy for evaluation of infertility patients in a tertiary center in north-eastern Nigeria

Experience with Diagnostic Laparoscopy in the Evaluation of Tubal Factor Infertility

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