Operative Gynecologic Laparoscopy in Ile-Ife, Nigeria: Preliminary Experience

Badejoko, Olusegun O.; Adeyemi, Adebanjo Babalola; Kuti, Oluwafemi; Ijarotimi, Adebimpe O.; Loto, Olabisi Morebise; Awowole, Ibraheem O.; Adegoke, Samuel Abiodun; Ogunniyi, Solomon O.

doi:10.1089/gyn.2012.0132

Cited by 7 publications

(12 citation statements)

References 10 publications

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“…The duration of hospital stay was on an average 1.5 days for diagnostic laparoscopy and 2.5 days for therapeutic laparoscopic surgeries. This was similar to the study done by Bajracharya et al 12 but less than in the study done by Sarath et al 15 and Badejko et al 16 which stood at 2-6 days. The shorter hospital stay in our study positively correlates with less complications and consequently, faster recovery.…”

Section: Discussionsupporting

confidence: 89%

Trends of laparoscopic gynecologic surgeries in a tertiary care center: A five-year retrospective study

et al. 2019

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Background:The use of laparoscopic surgery in modern gynecology has led to faster recovery, lesser hospital stay, and fewer complications. In this study, we aim to analyze the current trends in laparoscopic surgery, its indications, type of procedure and associated complications. Method:This is a retrospective study done in Grande International Hospital. All patients who underwent laparoscopic surgery over a duration of 5 years from Result:There were a total of 419 laparoscopic surgeries (74 diagnostic, 345 therapeutic) performed. The most common age group of patients for diagnostic laparoscopy was 25-34 years and for therapeutic was 45-54 years. Therapeutic surgery was mostly performed for ovarian cyst (144, 41.74%). There were a total of 152 (44.06%) laparoscopic hysterectomies performed. Complications which occurred during the surgery were insignificant (p<0.01). Conclusion:Laparoscopic surgery has become the most common procedure for gynecological procedures over the years.

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Section: Discussionsupporting

confidence: 89%

Trends of laparoscopic gynecologic surgeries in a tertiary care center: A five-year retrospective study

et al. 2019

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“…Studies by beginners also reported 2-6 days and 4 hr to 5 days comparable hospital stay. 2,4 No major postoperative complication were reported in the studies same in our study may be because less advanced operative work and early conversion. [3][4][5][6] Laparoscopic surgery is a hybrid surgical approach requiring good technical support and expertise of surgeon.…”

Section: Resultssupporting

confidence: 52%

“…2,4 No major postoperative complication were reported in the studies same in our study may be because less advanced operative work and early conversion. [3][4][5][6] Laparoscopic surgery is a hybrid surgical approach requiring good technical support and expertise of surgeon. An experienced surgeon can bear with any instrument but a beginner needs a good set of proper instrument.…”

Section: Resultssupporting

confidence: 52%

“…2,4 In the present study the probable reasons for prolong duration include poor hand eye coordination, fogging of lens, untrained camera assistant, difficulty in retrieval of tissue after surgery, difficulty in choosing right instruments during surgery. Initially positioning of patient, allocating positions to assistants, and doing connection of cable used to take more time than surgery itself.…”

Section: Resultsmentioning

confidence: 71%

“…[3][4][5][6] Other studies as mentioned above also reported no major complication The reason may be the dominance of diagnostic procedures in all the studies and low threshold for conversion to open. Major complications especially in the learning phase not only break the morale of team but can be life threatening to the patient as well.…”

Section: Resultsmentioning

confidence: 99%

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Hurdles in starting laparoscopy in a rural medical college: our experience

Sangwan

Siwach

et al. 2015

Int J Reprod Contracept Obstet Gynecol

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Correlation between hysterosalpingography diagnosis and final hysterolaparoscopy with dye-test diagnosis in women with utero-tubal infertility: A cross-sectional study of the implication for which test should be the first-line investigation

et al. 2022

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Objective: To assess the accuracy of hysterosalpingography in diagnosis of uterine and/or tubal factor infertility, using hysterolaparoscopy with dye test as the gold standard with an implication for which test should be the first-line investigation. Methods: A prospective cross-sectional study of 96 women who underwent hysterosalpingography and hysterolaparoscopy with dye test. All women within reproductive age group with utero-tubal infertility who underwent both hysterosalpingography and hysterolaparoscopy with dye-test procedure were included. The outcome measures were proportions of tubal blockage and intrauterine pathology. Individual and overall mean accuracy were calculated for hysterosalpingography, using hysterolaparoscopy with dye test as the gold standard. Patient had procedure of hysterosalpingography first and both laparoscopic surgeons and patients were blinded to the outcome of hysterolaparoscopy with dye test until analysis. Statistical significance was set at p < 0.05. Results: Overall, 128 women were assessed for eligibility while 96 women finally completed the study. Hysterosalpingography demonstrated diagnostic accuracy of 77.8% (p < 0.001), 76.3% (p < 0.001) and 78.3% (p < 0.001) for right, left and bilateral tubal blockage, respectively. Overall accuracy of hysterosalpingography tubal factor assessment was 77.4 ± 0.8% (95% confidence interval = 76.5% to 78.4%). Hysterosalpingography showed an accuracy of 85.7%, 86.6% and 76.7% for right, left and bilateral hydrosalpinx, respectively, given overall diagnostic accuracy of 83.0 ± 5.1% (95% confidence interval = 77.9% to 88.1%). Overall accuracy of hysterosalpingography in diagnosing intrauterine pathology was 68.5 ± 9.8% (95% confidence interval = 53.9% to 83.1%). Conclusion: Hysterosalpingography detects tubal blockade and intrauterine pathology poorly compared to hysterolaparoscopy with dye test. Hysterosalpingography may face unpredictable clinical situations biased by technological error, leading to unsuccessful evaluation and uncertain diagnosis. Although the cost-effectiveness, risk of surgery or anaesthesia flaws hysterolaparoscopy with dye test. Hysterosalpingography should not be the first-line utero-tubal assessment tool rather hysterolaparoscopy with dye test.

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Operative Gynecologic Laparoscopy in Ile-Ife, Nigeria: Preliminary Experience

Cited by 7 publications

References 10 publications

Trends of laparoscopic gynecologic surgeries in a tertiary care center: A five-year retrospective study

Trends of laparoscopic gynecologic surgeries in a tertiary care center: A five-year retrospective study

Hurdles in starting laparoscopy in a rural medical college: our experience

Correlation between hysterosalpingography diagnosis and final hysterolaparoscopy with dye-test diagnosis in women with utero-tubal infertility: A cross-sectional study of the implication for which test should be the first-line investigation

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