STUDY OF LAPAROSCOPY CASES IN GYNAECOLOGY IN A GOVERNMENT TEACHING INSTITUTE

Aim of the study was to know incidence, indications, different procedures ,changing trends & complications of diagnostic as well as operative laparoscopic surgeries in gynaecology.

It was a retrospective observational  study of laparoscopic surgeries performed in a single unit of department of Obstetrics & Gynaecology at a government teaching institute in western Maharashtra from  1st January 2014 to 31st December 2016

Out of 80 laparoscopy cases, majority of patients  were between the  age groups  20–29 years (60%) and 77% were nulliparous. The most common indication for laparoscopy in our study was infertility (47cases) followed by ovarian masses , ectopic pregnancy and others. In 2014, there were more cases of diagnostic laparoscopy  as compared to operative cases. Whereas in 2016, increase in number of operative cases as well as increase in total number of cases were observed. Minor complications like Shoulder pain, mild subcutaneous emphysema , vomiting  were noted which subsided later.

Thus,laparoscopy offers unique advantages for variety of gynaecological conditions in establishing definite diagnosis & treatment in the same sitting, speedy recovery, minimal complications,less cost and shorter hospital stay.