Clinical practice of minimally invasive gynaecological surgeries

  • binaya raj bhandari MIDAT Hospital Lagankhel, Lalitpur, Nepal


Aims: This study was done to know the clinical practice of minimally invasive gynaecological surgeries in Minimally Invasive Diagnostic and Therapeutic (MIDAT) hospital.Methods: A hospital based descriptive study was conducted in gynaecological department of MIDAT hospital over 16 months period from 1st Bhadra 2071 to 30th Poush 2072 (17th August 2014 to 14th January 2016) among 115 women who underwent minimally invasive gynaecological surgeries (MIGS).Results: There were total 115 minimally invasive gynaecological surgeries done in MIDAT hospital during study period. Laparoscopic gynaecological surgeries and hysteroscopy were performed in 86 (75%) and in 29 (25%) women respectively. Among laparoscopy, laparoscopic hysterectomy {31 (36%)} was the more common operation. During laparoscopy, conversion to open was done in nine (10.5%) patients. Complications of MIGS were seen in three (3.5%) women.Conclusions: MIGS has got more technical difficulties but lesser morbidity, better patient’s satisfaction, smooth post operative recovery and shorter hospital stay compared to open gynaecological surgeries. In recent time, MIGS is gradually becoming popular in Nepal.Keywords: Hysteroscopy, Minimally invasive gynaecological surgery, laparoscopy

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