Publication:

Gynecological profile of patients undergoing laparoscopy/laparotomy in a tertiary care hospital

Background Laparoscopy is not only used in the elective surgery but also used in the emergency surgery. It is also found to be useful in the acute abdominal emergencies. It is useful in removing any diagnostic doubts. It is also useful in the treatment of diseases. The objective of the study was to study the gynecologic profile of patients undergoing laparoscopy/laparotomy in gynecology department of a tertiary care hospitalMethods: A hospital based cross sectional study was carried out at department of Obstetrics and Gynecology of S. V. Medical College, Tirupati from September 2014 to February 2015, for a period of six months. A total of 36 patients were evaluated for gynecological problems during the study period based on the inclusion and exclusion criteria. They were evaluated for menstrual complaints, chief presenting complaints, clinical diagnosis, scan diagnosis and laparotomy evaluation. Institutional Ethics Committee permission was taken before the start of the study. Informed consent was taken from all patients after explaining them about the nature of the study.

Results Ovarian cyst was the most common presentation which constituted more than half of the patients (55.6%). All patients i.e. 36 (100%) had menorrhagia as the complaint of menstrual irregularity. Out of 9 cases, clinical diagnosis differed in all cases, thus giving zero percent of accuracy for clinical diagnosis. Scan diagnosis matched with laparotomy confirmation in only 3 (33.3%) of cases. One case which was labeled as normal was found to have bilateral functional ovarian cyst on laparotomy confirmation. One case which was labeled as left ovarian cyst was found to have no cyst on laparotomy confirmation.

Conclusions Thus, laparoscopy is a useful tool for diagnosis and therapeutic accuracy in gynecological disease in routine as well as in emergencies. It is safe, effective, less time consuming, economical and patient friendly.