Paradigm Shift in Gynecological Surgeries Over Eight Years in Dhulikhel Hospital.

Abstract

Introduction: One of the greatest achievements in the surgical field is the paradigm shift from opensurgery to minimal invasive surgery. Hysteroscopy, laparoscopy, laparoscopy-assisted vaginal hysterectomyand total laparoscopic hysterectomy are frequently performed minimal invasive gynecological surgeries.These surgeries are being regularly performed in Dhulikhel hospital. This study aims to review thechanges in surgical approaches in the field of gynecological surgeries in this institute. Methods: This was aretrospective study of changes in surgical approaches from conventional to minimal invasive surgery in thefield of gynecological surgeries from 2010 to 2018. Demographic characteristics of patients and indicationfor various minimal invasive surgeries were compared over this time period. Results: There were significantchanges in surgical approaches from conventional open surgeries to minimally invasive approach throughthe years. There was no obvious difference in demographic characteristics of the cases and the indications forhysterectomy and endometrial sampling were comparable. Conclusion: There was definitely paradigm shiftin conventional method to minimal invasive methods for major gynecological surgeries like hysterectomy,ovarian cystectomy, salpingectomy for ectopic pregnancy and endometrial samplings.