World Journal of Laparoscopic Surgery

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VOLUME 9 , ISSUE 1 ( January-April, 2016 ) > List of Articles

RESEARCH ARTICLE

Laparoscopy in Gynecology: Experience from a Rural Hospital

Nidhi Bhutani

Citation Information : Bhutani N. Laparoscopy in Gynecology: Experience from a Rural Hospital. World J Lap Surg 2016; 9 (1):13-16.

DOI: 10.5005/jp-journals-10033-1262

Published Online: 01-04-2016

Copyright Statement:  Copyright © 2016; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Introduction

Laparoscopy as a modality for the diagnosis of pelvic pathology has been well-established in recent times. Besides aiding in diagnosis, it is an important tool for management in the same sitting preventing unnecessary laparotomy in many cases.

Aim

The aim of the article was to know the common indications of performing diagnostic laparoscopy, intraoperative findings, and various interventions done during surgery. It was also aimed to highlight the importance of laparoscopy as a minimum basic requirement for diagnosing many common pelvic pathologies.

Materials and methods

Indications for laparoscopy, intraoperative findings, and interventions done during surgery were studied in 75 patients who underwent laparoscopy between January 2012 and December 2014 at Gian Sagar Medical College and Hospital.

Results

Maximum number of patients (75; 76%) were in the age group of 21 to 30 years. The main indication for laparoscopy was infertility in 58 cases (77.33%) followed by chronic pelvic pain in 4 cases (5.3%). Tubal factor was the commonest cause of infertility seen in 19 (32.75%) cases. In majority of patients with previous history of tuberculosis, adhesions were found to be the cause of chronic pain and infertility. Ovarian drilling was the most common intervention done in 12 cases and adhesiolysis in another 11 cases.

Conclusion

Laparoscopy is an essential intervention in detecting many pelvic pathologies which are difficult to diagnose on clinical examination. Its diagnostic and therapeutic potential has made it a safe, feasible, and less invasive modality for evaluation of infertility, chronic pelvic pain, and endometriosis.

How to cite this article

Bhutani N, Kaur H, Sharma S. Laparoscopy in Gynecology: Experience from a Rural Hospital. World J Lap Surg 2016;9(1):13-16.


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  1. Investigation of the infertile couple: should diagnostic laparoscopy be performed after normal hysterosalpingography in treating infertility suspected of unknown origin? Hum Reprod 2002 Jan;17(1):1-3.
  2. ACOG Practice Bulletin No. 51. Chronic pelvic pain. Obstet Gynecol 2004 Mar;103(3):589-605.
  3. Chronic pelvic pain: an integrated approach to diagnosis and treatment. Obstet Gynecol Surv 2003 Sep;58(9):615-623.
  4. Focus on primary care: chronic pelvic pain in women. Obstet Gynecol Surv 2001 Dec;56(12):757-764.
  5. The role of laparoscopy as a diagnostic tool in chronic pelvic pain. Baillieres Best Pract Res Clin Obstet Gynaecol 2000 Jun;14(3):467-494.
  6. Causes of infertility in women at reproductive age. Health Sci J 2009;3(2):80-87.
  7. Hyperprolactinemia and its correlation with hypothyroidism in infertile women. J Obstet Gynecol India 2006 Jan-Feb;56(1):68-71.
  8. Role of laparoscopy in infertility in a rural setup hospital. Int J Reprod Contracept Obstet Gynecol 2014;3(1):185-188.
  9. Chronic pelvic pain in endometriosis: an overview. J Clin Med Res 2013 Jun;5(3):153-163.
  10. Chronic pelvic pain: cause, diagnosis and therapy from a gynaecologist's and an endocrinologist's point of view. Gynecol Endocrinol 2009 Nov;25(11):757-761.
  11. Diagnostic laparoscopy in chronic pelvic pain. Arch Gynecol Obstet 2011 Feb;283(2):295-297.
  12. Laparoscopic findings in female genital tuberculosis. Arch Gynecol Obstet 2008 Oct;278(4):359-364.
  13. Laparoscopic drilling by diathermy or laser for ovulation induction in anovulatory polycystic ovary syndrome. Cochrane Database Syst Rev 2012 Jun13;6:CD001122.
  14. Correlation between pelvic adhesions and pain symptoms of endometriosis. Zhonghua Fu Chan Ke Za Zhi 2009 May;44(5):333-336.
  15. A randomized clinical trial on the benefit of adhesiolysis in patients with intraperitoneal adhesions and chronic pelvic pain. Br J Obstet Gynaecol 1992 Jan;99(1):59-62.
  16. Interventions for treating chronic pelvic pain in women. Cochrane Database Syst Rev 2000;(4):CD000387.
  17. Laparoscopic surgery for large benign ovarian cysts. Gynecol Oncol 2008 Jan;108(1):72-76.
  18. Laparoscopic cauterization of endometriosis for fertility: a controlled study. Fertil Steril 1986 Dec;46(6):1098-1100.
  19. Role of laparoscopy in the treatment of endometriosis-associated infertility. Gynecol Obstet Invest 2002;53Suppl 1:33-39.
  20. Retrospective study on laparoscopic management of ectopic pregnancy. J Obstet Gynaecol India 2013 Jun;63(3):173-176.
  21. Diagnosis and laparoscopic management of 11 consecutive cases of cornual ectopic pregnancy. Arch Gynecol Obstet 2009 Jul;280(1):59-64.
  22. Diagnosis and management of ectopic pregnancy. J Fam Plann Reprod Health Care 2011 Oct;37(4):231-240.
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