Laparoscopic Gynecological Surgery in Bharatpur Hospital: An Experience from a Government Tertiary Care Center of Central Nepal

Abstract

Background: The aim of the study was to share the experience of laparoscopic gynecologic surgery in a government hospital outside Kathmandu valley
 Method: A descriptive cross-sectional study was carried out in Bharatpur Hospital from 15 Dec, 2018 to 15 June, 2019. Fifty consecutive patients who underwent laparoscopic gynecological procedures were included in the study and analyzed demographics, indication, hospital stay and complications.
 Results: The mean age of the patients (n = 50) was 34.6 ± 12.5 years (Range: 17 – 66 years). More than athird of the total patients (n = 18, 36.0%) were between 26 – 35 years. Majority (n = 26, 56.0 %) of the patients were multipara (≥ 2 child). Hasson type was more frequently utilized type of primary port incision in the surgeries performed (52.0%, n = 26). The median duration of surgery was 2.08 hours (Range: 0.83 – 3.25 hours). The commonest post-operative diagnosis was dermoid cyst (n = 14, 28.0%). Complications were observed in eight patients (16.0 %). The median duration of post-operative hospital stay was 3 days.
 Conclusions: LGS has evolved greatly advantageous as it reduces hospital stay, surgical site infection, and better aesthetic results. It is essential to extend services outside the Kathmandu Valley

Setting up minimal invasive surgery services in gynecology in a resource-limited setting: an experience from Bhutan

“…In our study, the commonly performed procedures were ovarian cystectomy, salpingectomy, and diagnostic laparoscopy in the age group 25-44 years. This is in agreement with other studies as most of the benign ovarian pathologies, ectopic and reproductive issues occur in this age group [14,16,17]. The moderate to complex procedures like ovarian cystectomy and TLH contributed to a longer operating time.…”

“…Currently, the services in MIS are limited to simple diagnostic and therapeutic procedures. Studies from resource-limited countries reported similar findings in terms of indications and type of procedure performed as they initiated gynecological minimal invasive procedures [13][14][15]. In our study, the commonly performed procedures were ovarian cystectomy, salpingectomy, and diagnostic laparoscopy in the age group 25-44 years.…”