Publication:

Laparoscopic surgery in gynecology: epidemiological, clinical and outcome aspects at the University Hospital Center of Gynecology and Obstetrics Befelatanana

Background Laparoscopic surgery represents one of the most important surgical advances of the last decades. In Madagascar, its use in gynecology remains limited. This study aimed to describe the epidemiological, clinical and outcome characteristics of gynecological laparoscopic procedures at the University Hospital Center of Gynecology and Obstetrics Befelatanana (CHUGOB).

Methods A retrospective descriptive study was conducted on 39 gynecological laparoscopic procedures performed between July 1, 2019 and December 31, 2020 at CHUGOB. Epidemiological, clinical, intraoperative and postoperative data were analyzed.

Results Laparoscopy accounted for 4.12% of gynecological surgical procedures during the study period. The mean age of patients was 29 years. Infertility was the main indication (43.58%). Intraoperative findings were mainly tubal obstruction (32.55%) and abdominopelvic adhesions (23.25%). The mean operative time was 90.72 ± 20.2 minutes. Postoperative outcomes were uncomplicated in 71.79% of cases. The mean hospital stay was 2.86 days and the patient satisfaction rate was 92%.

Conclusions Laparoscopy is a safe and effective surgical technique with good postoperative outcomes and high patient satisfaction. Its use should be encouraged as a first-line approach in gynecological surgery whenever conditions allow.