Experience with laparoscopic surgery at the Aga Khan Hospital, Nairobi

Parkar, R.B.; Thagana, NG; Baraza, R; Otieno, David Odhiambo

doi:10.4314/eamj.v80i1.8665

Cited by 11 publications

(2 citation statements)

References 24 publications

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“…There was some degree of complication (16%) like blood transfusion in 18 cases and conversion into open laparotomy in 2 cases similar to the report in Kenya by Parkar; 12 and it was relatively less than other study by Bajracharya 13 , Golash 14 (7%) and Jansen et al 15 (4.5% of diagnostic and 17.9% of operative laparoscopy) but more than Ikechebelu et al 16 where it was only 0.12%. A study done by Sokol et al 17 also found that 6.3% of 2530 cases had converted to open laparotomy especially in cases with risk factor like surgeon inexperience, level of laparoscopic complexity, body mass index greater than 30 kg/m 2 , history of laparotomy, presence of adhesion and intraoperative technical difficulty.…”

Section: Discussionsupporting

confidence: 78%

Laparoscopic pelvic adnexal surgery in Nobel Medical College

Chaudhary¹,

Baral²,

Shrestha³

et al. 2021

Nepal J Obstet Gynaecol

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Aim: To share early experience of gynaecological laparoscopic surgeries for adnexal masses in Nobel Medical College and Teaching Hospital (NMCTH). Methods: This is a observational descriptive study in the Department of Obstetrics and Gynaecology of Nobel Medical College, Biratnagar for one year in 2019-2020. All the patients undergoing laparoscopic pelvic surgeries for adnexal masses were analysed for indication, type of procedure, complications and histopathological diagnosis. Results: A total of 123 laparoscopic surgeries were performed. Preoperative diagnosis in most of the cases was adnexal mass followed by adnexal evaluation for subfertility. The common surgical procedure was cystectomy followed by salpingo-oophorectomy in 80% of cases. The most common histopathological diagnosis was mature cystic teratoma (42; 34%) followed by endometriosis (29; 23.8%) and cystadenoma (25; 20.3%). Conclusions: Adnexal evaluation and surgical treatment were performed with laparoscopy. The common pathologies were mature cystic teratoma, endometriosis and ovarian cystadenomas.

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Section: Discussionsupporting

confidence: 78%

Laparoscopic pelvic adnexal surgery in Nobel Medical College

Chaudhary¹,

Baral²,

Shrestha³

et al. 2021

Nepal J Obstet Gynaecol

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“…Gynecologic adnexal procedures would be a composite of salpingectomy, tubal ligation, cystectomy, and oophorectomy. These Laparoscopy Bellwether procedures encompass a range of procedures from routine to emergent, are minor procedures requiring less surgeon technical expertise, yet compose the majority of laparoscopic abdominal procedures performed by programs located in LMICs [61026]. Additionally, guidelines in HICs recommend laparoscopy as the first-line approach for each of these procedures [2728293031].…”

Section: Defining Accessmentioning

confidence: 99%

Improving Access to Laparoscopy in Low-Resource Settings

Rosenbaum

Maine

2019

Annals of Global Health

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Laparoscopy has numerous clinical benefits compared to laparotomy. However, a functional laparoscopy program requires significant investment and, as a result, remains unavailable for the majority of the world’s population in low- and middle-income countries. The effort to bring laparoscopy to low-resource settings has produced variable outcomes resulting from the challenges inherent to a complex surgical program. This paper highlights these shortcomings and identifies opportunities to improve future laparoscopy programs.

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Systematic review of laparoscopic surgery in low- and middle-income countries: benefits, challenges, and strategies

et al. 2015

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LMICs face many surgical challenges that require innovation. Laparoscopic surgery may be safe, effective, feasible, and cost-effective in LMICs, although it often remains limited in its accessibility, acceptability, and quality. This study may not capture articles written in languages other than English or in journals not indexed by the included databases. Surgeons, policymakers, and manufacturers should focus on plans for sustainability, training and retention of providers, and regulation of efforts to develop laparoscopy in LMICs.

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Experience with laparoscopic surgery at the Aga Khan Hospital, Nairobi

Abstract: Objective: To outline the experience of laparoscopic surgery at the Aga Khan Hospital, Nairobi, and to determine the acceptability and outcome of the various procedures undertaken laparoscopically.

Cited by 11 publications

References 24 publications

Laparoscopic pelvic adnexal surgery in Nobel Medical College

Laparoscopic pelvic adnexal surgery in Nobel Medical College

Improving Access to Laparoscopy in Low-Resource Settings

Systematic review of laparoscopic surgery in low- and middle-income countries: benefits, challenges, and strategies

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