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Preliminary report of experience with gynaecologic laparoscopy in Ogbomoso, Nigeria

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Abstract Gynaecologic laparoscopy (GL) had remained in la-tency in Nigeria because of widespread lack of equipment and skilled personnel. This study presents a pioneer experience with laparoscopic procedures in Gynaecological unit of the Bowen University Teaching Hospital (BUTH), Ogbomoso, Nigeria. Consecutive patients who had laparoscopic procedures from May 2014 toApril 2015 were prospectively studied. There were 52 GLs, making up 28.1 % of the 185 gynaecologic surgeries over the study period. The patients’ ages ranged from 18 t 50 years (mean age=32.6±6.0 years). Eighteen (34.6 %) of the
GLs were emergencies, whereas 34 (63.4 %) were elective. Fif-teen patients (28.8 %) had only diagnostic laparoscopy for var-ious gynaecological conditions. Eight patients (15.4%) had tubal surgery for tubal factor infertility. Two patients (3.9 %) had bi-lateral tubal occlusion as permanent method of contraception. There were 6 salpingectomies for ectopic pregnancy (11.5 %) and three (5.8 %) excision of endometriosis nodules. Nine (28.9 %) ovarian cystectomies and 6 (11.5 %) laparoscopic
adhesiolysis were also performed. There were 2 (3.8 %) laparo-scopic ovarian drilling for polycystic ovary syndrome and 1 (1.9 %) laparoscopic retrieval of a translocated IUCD. The du-ration of surgery ranged from 45 to 150min (mean time=76.6± 32.55 min). Various improvisations and local adaptations were necessary in the course of 14 procedures (27.5%). There were 2 conversions to laparotomy (3.8 %), all following emergency laparoscopy. There was no major complication despite the chal-lenging intraoperative adverse conditions. The duration of hospital stay postoperatively ranged from 4 h to 4 days (median time=11 h). There was no mortality. On the basis of our experi-ence, we are of the opinion that gynaecologic laparoscopy pro-cedures can be performed routinely in Nigerian hospitals with acceptable outcome. We advocate the local adaptation of equip-ments in our environment to ensure sustainability

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Informasi Detail

Judul Seri

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No. Panggil

Artikel

Penerbit

USA : Springer., 2015

Deskripsi Fisik

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Bahasa

English

ISBN/ISSN

DOI 10.1007/s10397-0

Klasifikasi

NONE

Tipe Isi

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Tipe Media

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Tipe Pembawa

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Edisi

Gynecol Surg (2016) 13:17–21

Subjek

Medicine
laparoscopy
gynaecologic

Info Detail Spesifik

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Pernyataan Tanggungjawab

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Lampiran Berkas

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