A Comparative Analysis Of Surgical Parameters And Outcome In Surgeries Performed By Minilaparotomy, Laparoscopy And Conventional Techniques For Benign Gynecological Diseases

Ganesh Shinde; Hemlata Kuhite; Nihita Pandey

Volume : V, Issue : VII, July - 2016

A Comparative Analysis Of Surgical Parameters And Outcome In Surgeries Performed By Minilaparotomy, Laparoscopy And Conventional Techniques For Benign Gynecological Diseases

Ganesh Shinde, Hemlata Kuhite, Nihita Pandey

Abstract :

Laparoscopy surgeries are now considered to be the gold standard surgical approach. Although it has many advantages, its high cost is a limiting factor for countries like India. Minilap approach on the other hand serves to minimize the ill effects of conventional surgeries while serving to reduce the cost factor. In this study we propose to compare the surgical outcomes and parameters for various surgeries performed by minilap, laparoscopic and conventional techniques in an attempt to highlight the feasibility and safety of minilap surgeries. Data was collected for all patients undergoing operations for benign gynecologic pathologies using all three surgical techniques for over 2 years. A total of 50 hysterectomies were performed. The volume of tumor removed, hospital stay and pain scores were comparable in minilap and laparoscopic approaches. The incision size and blood loss were least in the laparoscopic approach. Overall complications were least in the minilap group. It was concluded that minilaparotomy approach was feasible, safe and had an easier learning curve for performing surgeries for benign gynecologic diseases.