Fertility and Endoscopic Surgery Unit, Department of Obstetrics and Gynaecology, Babcock University Teaching Hospital, Babcock University, Ilisan Remo, Ogun State, Nigeria.
Department of Surgery, Babcock University Teaching Hospital, Ilisan-Remo, Ogun State, Nigeria.
West Afr J Med. 2022 Feb 28;39(2):111-118.
Laparoscopic surgery is associated with shorter hospital stay and less post-operative morbidity. Cost, expertise and availability of equipment, however remain limitations to the range of surgeries available in low resource settings.
To determine the indications, the patient characteristics and the surgical outcomes of laparoscopic gynaecological surgeries in a Nigerian private tertiary level hospital.
This retrospective observational study included all gynaecologic laparoscopy procedures done between August 2016 and July 2021, at the Babcock University Teaching Hospital (BUTH). Data were extracted from the hospital records with the use of a proforma designed for this purpose and were analyzed using the SPSS version 21.0.
Laparoscopy accounted for 13.5% of gynaecological surgeries. They were majorly in nulliparous women (67.6%) of reproductive age (mean 33.9±10.2 years and median of 32 years). The commonest indication was secondary infertility (27.3%) and operative procedures were more commonly done (59.0%). The mean duration of surgery was 94.8±52.4 min and conversion to laparotomy rate was 8.6%. Operative procedures lasted longer (113.9±58.1 min) and accounted for most conversions, 10/12 (83.3%). Intraoperative complication rate was 2.2% and they were mostly (66.7%) entry related. The mean duration of hospitalization was 2.2± 1.6 days.
The prevalence and indications for laparoscopic surgeries were similar to findings from other parts of Nigeria. Operative procedures were however more commonly done. In spite of the sustained increase in procedure rates, a steady decline in the duration of surgery, conversion and complication rates occurred. Private hospitals may have potential for uninterrupted progression of laparoscopic gynaecocologic surgeries in Nigeria.
腹腔镜手术与较短的住院时间和较少的术后发病率相关。然而，成本、专业知识和设备的可用性仍然限制了低资源环境下可开展的手术范围。
确定在尼日利亚一家私立三级医院进行腹腔镜妇科手术的适应证、患者特征和手术结果。
本回顾性观察性研究纳入了 2016 年 8 月至 2021 年 7 月期间在巴布科克大学教学医院（BUTH）进行的所有妇科腹腔镜手术。数据是从医院记录中提取的，使用为此目的设计的表格，并使用 SPSS 版本 21.0 进行分析。
腹腔镜手术占妇科手术的 13.5%。它们主要在处于生育年龄的初产妇（67.6%）中进行（平均年龄为 33.9±10.2 岁，中位数为 32 岁）。最常见的适应证是继发性不孕（27.3%），手术操作更为常见（59.0%）。手术平均持续时间为 94.8±52.4 分钟，中转开腹率为 8.6%。手术操作持续时间较长（113.9±58.1 分钟），且占大多数中转（10/12，83.3%）。术中并发症发生率为 2.2%，且多与入路相关（66.7%）。平均住院时间为 2.2±1.6 天。
腹腔镜手术的流行率和适应证与尼日利亚其他地区的发现相似。然而，手术操作更为常见。尽管手术率持续增加，但手术时间、中转率和并发症率稳步下降。私立医院在尼日利亚可能有机会持续推进腹腔镜妇科手术。
