Laparoscopic Gynaec Surgeries – A Retrospective Study

Abstract

BACKGROUND:There has been a rapid worldwide adoption of laparoscopic procedures across many surgical specialties, most notably in Gynaecology. Unfortunately, the increased adoption of laparoscopic surgery has also been accompanied by a corresponding rise in the rates and types of complications reported. AIMS: To audit the different types of laparoscopic surgeries and their complications and comparison with other routes of surgery. METHODS & MATERIALS:We have retrospectively analysed 285 laparoscopic surgeries and 306 other routes of surgery which were done at our institute from July 2011 to April 2013.We admit the patients 1-2 days prior to surgery and a complete medical work-up of the patient is done for elective laparoscopic surgery .We defer laparoscopy for malignant conditions, uterine size more than 20 weeks, cervix flushed to the vagina or with history of more than 2 pelvic surgeries. Sub-fertile women, after an initial workup, are subjected to diagnostic laparoscopy with chromopertubation.