First laparoscopically-assisted vaginal hysterectomy in a tertiary health facility in Abeokuta, Nigeria: A case report

O. Jimoh, T. Ogunfunmilayo, S. Waheed, R. Lemboye-Bello, N. Taiwo, A.O. Oladosu-Aderolu, A.M. Igbo, A.A. Odunola
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Abstract

Background: Laparoscopic surgery as a form of minimal access operation has been performed for decades in the developed world, but is  now gaining popularity in the developing countries including Nigeria. The recent rise in minimal access surgery in low-resource  settings may be attributed to increasing expertise, growing awareness among patients and relatively reducing cost. Case report: Although laparoscopically-assisted vaginal hysterectomy (LAVH) has been documented from some centres in Nigeria, we  are reporting the first case of this highly-technical surgery in our centre. Mrs. GJ was admitted with second degree uterine prolapse and  had LAVH with a smooth post-operative recovery. She had reduced hospital stay as she was discharged on the first post-operative day  and was satisfied with her choice of surgery as well as the outcome. There were no immediate or late post-operative complications.   Conclusion: The success of this procedure further emphasize the feasibility of minimal access surgery in resource-poor settings.
尼日利亚阿贝奥库塔一家三级医疗机构首次腹腔镜辅助阴式子宫切除术:一例报告
背景:腹腔镜手术作为一种微创手术在发达国家已经进行了几十年,但现在在包括尼日利亚在内的发展中国家越来越受欢迎。最近,在资源匮乏的环境中,微创手术的兴起可能归因于专业知识的增加、患者意识的提高以及成本的相对降低。病例报告:尽管尼日利亚的一些中心已经记录了腹腔镜辅助阴道子宫切除术(LAVH),但我们报告了我们中心首例这种高技术性手术的病例。GJ夫人因二度子宫脱垂入院,并患有LAVH,术后恢复顺利。她在术后第一天出院,减少了住院时间,对自己的手术选择和结果感到满意。术后无立即或晚期并发症。结论:该手术的成功进一步强调了在资源匮乏的环境中进行微创手术的可行性。
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