World Journal of Laparoscopic Surgery

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Volume  18 (2025)
Volume  17 (2024)
Volume  16 (2023)
Volume  15 (2022)
Volume  14 (2021)
Volume  13 (2020)
Volume  12 (2019)
Volume  11 (2018)
Volume  10 (2017)
Volume  9 (2016)
Volume  8 (2015)
Volume  7 (2014)
Volume  6 (2013)
Volume  5 (2012)
Volume  4 (2011)
Volume  3 (2010)
Volume  2 (2009)
Volume  1 (2008)
Related articles

VOLUME 16 , ISSUE 2 ( May-August, 2023 ) > List of Articles

Original Article

Review of Laparoscopic Gynecological Procedures in Ethiopia

Eyasu Mesfin Kassa, Eskinder Kebede Weldetensaye

Keywords : Adhesions, Complications, Cross-sectional, Endometriosis, Infertility, Laparoscopy, Myoma

Citation Information : Kassa EM, Weldetensaye EK. Review of Laparoscopic Gynecological Procedures in Ethiopia. World J Lap Surg 2023; 16 (2):80-83.

DOI: 10.5005/jp-journals-10033-1575

License: CC BY-NC 4.0

Published Online: 20-12-2023

Copyright Statement:  Copyright © 2023; The Author(s).


Abstract

Introduction: Laparoscopy provides an alternative approach to open surgery in addressing the surgical need of the society. The absence of adequately qualified personnel has limited its use in Ethiopia. Objectives: To describe the laparoscopic gynecologic procedures and determine the prevalence of grossly visible endometriosis in Ethiopia. Materials and methods: Facility-based cross-sectional study conducted from 2018 to 2022 GC at 14 university hospitals across the country. Women who had gynecologic laparoscopic surgery with adequate documentation were included. Data were collected by the investigators. Data were compiled and analyzed using SPSS version 25. Results: Data were collected from 236 study participants. The participants’ mean age was 30.6 years (±5.43). Majority, 71.2% (168/236) were nulliparous. Tubal factor infertility alone was the commonest, 84.7% (200/236), indication for laparoscopy. Intraoperatively pelvic adhesion of different degrees was found in majority, 52.5% (124/236) of cases. The prevalence of grossly visible endometriosis was 3.4% (8/236). The prevalence of procedure-related intraoperative complications was 2.5% (6/236). Three of the six complications were inadvertent uterine perforation during inserting uterine manipulator for chromopertubation. All of the complications were detected intraoperatively and managed. No significant association was found between a dependent variable (presence of intraoperative complications) and selected independent variables. Conclusions and recommendations: Tubal factor infertility was the commonest indication for laparoscopy in the present study. The prevalence of grossly visible endometriosis was low (3.4%). The prevalence of procedure-related intraoperative complications was low (2.5%) probably due to the less complex cases and procedures.

HTML PDF Share
  1. Shrime MG, Bickler SW, Alkire BC, et al. Global burden of surgical disease: an estimation from the provider perspective. Lancet Glob Health 2015;3(Suppl 2):S8–9. DOI: 10.1016/S2214-109X(14)70384-5.
  2. Meara JG, Leather AJM, Hagander L, et al. Global Surgery 2030: evidence and solutions for achieving health, welfare, and economic development. Lancet 2015;386(9993):569–624. DOI: 10.1016/S0140-6736(15)60160-X.
  3. Daniilidis A, P Hatzis, Pratilas G, et al. Laparoscopy in Gynecology – How Why When. 2011. DOI: 10.5772/20183.
  4. Laurie Crimando RNC M. What is Laparoscopy? Patient Teaching Manual. Department of Obstetrics and Gynecology, University of Michigan, Von Voigtlander Women Hospital 2015.
  5. Yu X, Cai H, Guan J, et al. Laparoscopic surgery: any role in patients with unexplained infertility and failed in vitro fertilization cycles? Medicine 2019;98(13):e14957. DOI: 10.1097/MD.0000000000014957.
  6. Louis-Sylvestre C, Morice P, Chapron C, et al. The role of laparoscopy in the diagnosis and management of heterotopic pregnancies. Hum Reprod (Oxford, England) 1997;12(5):1100–1102. DOI: 10.1093/humrep/12.5.1100.
  7. Parker J, Bisits A. Laparoscopic surgical treatment of ectopic pregnancy: Salpingectomy or salpingostomy? Aust N Z J Obstet Gynaecol 1997; 37(1):115–117. DOI: 10.1111/j.1479-828x.1997.tb02232.x.
  8. Qurat-ul-Ain W RA, Sajad A, Mehbooba B. Diagnostic laparoscopy in the evaluation of female factors in infertility in Kashmir Valley. Int J Women's Health Reprod Sci 2014;2(2):48–57. DOI: 10.15296/ijwhr.2014.08.
  9. Schollmeyer T, Talab Y, Lehmann-Willenbrock E, et al. Experience of laparoscopic tubal surgery at the department of obstetrics and gynecology, University of Kiel, from 1999 through 2000. JSLS: J Soc Laparoendoscopic Surgeons 2004;8(4):334–338. PMID: 15554276.
  10. Watrelot A, Nisolle M, Chelli H, et al. Is laparoscopy still the gold standard in infertility assessment? A comparison of fertiloscopy versus laparoscopy in infertility. Results of an international multicentre prospective trial: The ‘FLY’ (Fertiloscopy-LaparoscopY) study. Hum Reprod (Oxford, England) 2003; 18(4):834–839. DOI: 10.1093/humrep/deg180.
  11. ACOG. Tubal-Ligation Laparoscopic Sterilization-FAQ035 on contraception, 2011.
  12. Mencaglia L, Minelli L, Wattiez A. Manual of Gynecological Laparoscopic Surgery. 2nd Edition. 2013. Endo-Press® Tuttlingen, Germany. ISBN: 978-3-89756-405-3.
  13. Cook AS, Adamson GD. The role of the endometriosis fertility index (EFI) and endometriosis scoring systems in predicting infertility outcomes. Curr Obstet Gynecol Rep 2013;2(3):186–194. DOI: 10.1007/s13669-013-0051-x.
  14. Jones KD, Sutton CJ. Pregnancy rates following ablative laparoscopic surgery for endometriomas. Hum Reproduct (Oxford, England) 2002;17(3):782–785. DOI: 10.1093/humrep/17.3.782.
  15. Marcoux S MR, Berube S. Laparoscopic surgery in infertile women with minimal or mild endometriosis. N Engl J Med 1997;337(4):217–222. DOI: 10.1056/NEJM199707243370401.
  16. Soriano D, Adler L, Bouaziz J, et al. Fertility outcome of laparoscopic treatment in patients with severe endometriosis and repeated in vitro fertilization failures. Fertil Steril 2016;106(5):1264–1269. DOI: 10.1016/j.fertnstert.2016.06.003.
  17. Daniilidis A, Giannoulis H, Tantanasis T, et al. Diagnostic laparoscopy, infertility, and endometriosis—5 years experience. Gynecol Surg 2008;5:231–234. DOI: https://doi.org/10.1007/s10397-007-0357-7.
  18. Dunselman GA, Vermeulen N, Becker C, et al. ESHRE guideline: management of women with endometriosis. Hum Reprod 2014;29(3):400–412. DOI: 10.1093/humrep/det457
  19. Eskenazi B, Warner ML. Epidemiology of endometriosis Obstet Gynecol Clin North Am 1997;24(2):235–258. DOI: 10.1016/s0889-8545(05) 70302-8.
  20. SH Kennedy, SJ Moore. The investigation and management of endometriosis. Green-top Guideline No 24. Lodon: RCOG, 2006:3–4.
  21. Tian YF, Lin YS, Lu CL, et al. Major complications of operative gynecologic laparoscopy in southern Taiwan: A follow-up study. J Minim Invasive Gynecol 2007;14(3):284–292. DOI: 10.1016/j.jmig. 2006.10.011.
  22. Belinga E, Ndoua CCN, Um EJN, et al. Complications of gynaecological laparoscopy and associated factors at the Maternity Ward of the Gonesse General Hospital. Gynecol Obstet (Sunnyvale) 2019;9:512. DOI: 10.35248/2161-10932.19.9.512.
  23. Mboudou E, Foumane P, Morfaw F, et al. Female infertility and laparoscopic surgery: A series of 415 operations at the Yaounde Gyneco-Obstetric and Pediatric Hospital, Cameroon. Open J Obstet Gynecol 2013;03:663–667. DOI: 10.4236/ojog.2013.39121.
  24. Ngowa JD, Kasia JM, Georges NT, et al. Comparison of hysterosalpingograms with laparoscopy in the diagnostic of tubal factor of female infertility at the Yaoundé General Hospital, Cameroon. Pan Afr Med J 2015;22:264. DOI: 10.11604/pamj.2015.22.264.8028.
  25. Kasia JM, Ngowa JD, Mimboe YS, et al. Laparoscopic fimbrioplasty and neosalpingostomy in female infertility: A review of 402 cases at the Gynecological Endoscopic Surgery and Human Reproductive Teaching Hospital in Yaoundé-Cameroon. J Reprod Infertil 2016;17(2):104–109. PMID: 27141465.
  26. Aziz N. Laparoscopic evaluation of female factors in infertility. J Coll Physicians Surg Pak 2010;20(10):649–652. DOI: 10.2010/JCPSP. 649652.
  27. Meuleman C, Vandenabeele B, Fieuws S, et al. High prevalence of endometriosis in infertile women with normal ovulation and normospermic partners. Fertil Steril 2009;92(1):68–74. DOI: 10.1016/j.fertnstert.2008.04.056.
  28. D'Hooghe TM, Debrock S, Hill JA, et al. Endometriosis and subfertility: is the relationship resolved? Semin Reprod Med 2003;21(2):243–254. DOI: 10.1055/s-2003-41330.
  29. Fawole AO, Bello FA, Ogunbode O, et al. Endometriosis and associated symptoms among Nigerian women. J Gynaecol Obstet 2015;130(2):190–194. DOI: 10.1016/j.ijgo.2015.02.030.
  30. Chapron C, Fauconnier A, Goffinet F, et al. Laparoscopic surgery is not inherently dangerous for patients presenting with benign gynaecologic pathology. Results of a meta-analysis. Hum Reprod 2002;17(5):1334–1342. DOI: 10.1093/humrep/17.5.1334.
  31. Shastri S, Singh A, Darawade S, et al. Complications of gynaecologic laparoscopy: An audit. Int J Reprod, Contracep, Obstet Gynecol 2018;7:4870. DOI: 10.18203/2320-1770.IJRCOG20184931.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.