Ngou J P Ngou Mve, Diallo F K, Nzoghe P, Ndong P, Mounanga M
Service de gynécologie-obstétrique, fondation Jeanne-Ebori, BP 4847 Libreville, Gabon.
Sante. 2009 Oct-Dec;19(4):181-4. doi: 10.1684/san.2009.0152. Epub 2010 Feb 22.
The authors report their experience with 614 laparoscopies performed from 1 January 1996 through 31 December 2005 at the Jeanne EBORI Foundation. The purpose of this study is to show the benefits of laparoscopy for day-to-day gynaecological treatment in developing countries.
We reviewed all laparoscopies performed during this period.
The women's average age was 26.2 years (range: 16-48 years); 68.6% of the procedures were laparoscopic surgery. The main indication for diagnostic laparoscopy was pelvic pain. We performed laparoscopy surgery for ectopic pregnancies and cystectomies (38.9%). The mean operating time was 35 to 50 minutes for diagnostic and 60 to 150 minutes for surgical laparoscopy. Bleeding was the leading complication (1.4%) followed by ruptured cysts (0.7%) and visceral wounds (1.3%).
In view of the public health benefits of this technology, the authors recommend it be acquired in developing countries to improve the therapeutic approach available to their doctors and patients.
