Clinical practice of mininally invasive gynaecological surgeries

  • Binaya Raj Bhandari MIDAT Hospital, Lalitpur, Nepal
  • Ranjana Shrestha Kathmandu Model Hospital, Exhibition Road, Kathmandu, Nepal
  • Binita Pradhan Patan Academy of Health Sciences, Lalitpur, Nepal
Keywords: Hysteroscopy, Minimally invasive gynaecological surgery, Laparoscopy

Abstract

Introduction: Endoscopic gynaecological surgery which is a routine practice in outer world since last 40 years, is still at earlier phase in Nepal. This study was done to know the clinical practice of minimally invasive gynaecological surgeries in Minimally Invasive Diagnostic and Therapeutic (MIDAT) hospital.

Methods: A hospital based descriptive study was conducted in gynaecological department of MIDAT hospital over 16 months period from 1st Bhadra 2071 to 30th Poush 2072 (17th August 2014 to 14th January 2016) among 115 women who underwent minimally invasive gynaecological surgeries (MIGS). Patient demographics, types of surgeries, indications of laparoscopy and hysteroscopy, reason for laparoscopic conversion, complications of surgeries and hospital stay were analyzed.

Results: There were total 115 minimally invasive gynaecological surgeries done in MIDAT hospital during study period. Laparoscopic gynaecological surgeries and hysteroscopy were performed in 86 (75%) and in 29 (25%) women respectively. Among laparoscopy, laparoscopic hysterectomy {31 (36%)} was the more common operation. During laparoscopy, conversion to open was done in nine (10.5%) patients. Complications of MIGS were seen in three (3.5%) women.

Conclusions: MIGS has acceptable morbidity, smooth post operative recovery and shorter hospital stay. In recent time, MIGS is gradually becoming popular in Nepal.   

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Author Biographies

Binaya Raj Bhandari, MIDAT Hospital, Lalitpur, Nepal

Department of Obstetrics and Gynaecology

Ranjana Shrestha, Kathmandu Model Hospital, Exhibition Road, Kathmandu, Nepal

Department of Obstetrics and Gynaecology

Binita Pradhan, Patan Academy of Health Sciences, Lalitpur, Nepal

Department of Obstetrics and Gynaecology

Published
2018-12-31
How to Cite
Bhandari, B., Shrestha, R., & Pradhan, B. (2018). Clinical practice of mininally invasive gynaecological surgeries. Journal of Society of Surgeons of Nepal, 21(2), 19-23. https://doi.org/10.3126/jssn.v21i2.24356
Section
Original Articles