Minimal Invasive Gynaecological Surgeries in Dhulikhel Hospital: One and Half Decade Long Experience
S R Tamrakar1, A Dongol1, S Shakya1
1Department of Obstetrics and Gynecology, Dhulikhel Hospital, Kathmandu University Hospital, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal.
Kathmandu University Medical Journal (KUMJ)
|November 16, 2019
Summary
Minimal invasive gynecological surgeries, including hysteroscopy and laparoscopy, were successfully performed at Dhulikhel Hospital with low complication rates. The study highlights the growth and milestones achieved in this surgical field in Nepal.
Area of Science:
- Gynecology
- Minimally Invasive Surgery
- Surgical Outcomes
Background:
- Minimal invasive surgery represents a significant advancement over traditional open surgery.
- Dhulikhel Hospital is a leading institution in Nepal for performing regular minimally invasive gynecological surgeries.
- There is limited published data on minimally invasive gynecological surgery experiences in Nepal.
Purpose of the Study:
- To review the types of minimally invasive gynecological surgeries performed.
- To identify key milestones in the development of these procedures.
- To assess the outcomes and complications of minimally invasive gynecological surgeries.
Main Methods:
- Retrospective study design.
- Data collected from January 1, 2004, to June 30, 2018.
- Analysis of 1849 cases of minimally invasive gynecological surgeries.
Main Results:
- A total of 1849 procedures were performed.
- Common indications included abnormal uterine bleeding, ovarian lesions, and chronic pelvic pain.
- Hysteroscopy, diagnostic laparoscopy, operative laparoscopy, and LAVH/TLH were the most frequent procedures, with a low conversion rate to laparotomy (1.8%).
Conclusions:
- Minimally invasive gynecological surgeries can be performed safely and effectively for various conditions.
- The study demonstrates a successful scale-up of these procedures over time.
- Low complication rates were observed, indicating the feasibility and safety of these techniques.