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

A. Ghimire, P. Pant, Nilam Subedi, S. R. Pant
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Abstract

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 July 2013 to June 2018 were analyzed. 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.
三级医疗中心腹腔镜妇科手术的趋势:一项五年回顾性研究
背景:腹腔镜手术在现代妇科的应用使患者恢复更快,住院时间更短,并发症更少。在这项研究中,我们旨在分析目前腹腔镜手术的趋势,其适应证,手术类型和相关并发症。方法:在格兰德国际医院进行回顾性研究。对2013年7月至2018年6月5年内接受腹腔镜手术的所有患者进行分析。结果:共进行腹腔镜手术419例(诊断性74例,治疗性345例)。诊断性腹腔镜手术患者的最常见年龄组为25-34岁,治疗性腹腔镜手术患者的最常见年龄组为45-54岁。卵巢囊肿以手术治疗为主(14.4%,41.74%)。腹腔镜子宫切除术共152例(44.06%)。术中并发症发生率无统计学意义(p<0.01)。结论:近年来,腹腔镜手术已成为妇科手术中最常见的手术方式。
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