EUROPEAN JOURNAL OF
PHARMACEUTICAL AND MEDICAL RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Reviewed Journal for Pharmaceutical, Medical & Biological Sciences

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

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 ISSN 2394-3211

Impact Factor: 6.222

 ICV - 79.57

Abstract

A FIVE YEAR AUDIT OF GYNAECOLOGICAL LAPAROSCOPY AT USMANU DANFODIYO UNIVERSITY TEACHING HOSPITAL, SOKOTO, NIGERIA

Constance E. Shehu* and Bilal Sulaiman

ABSTRACT

Gynaecological laparoscopy is a trans-peritoneal endoscopic technique that provides excellent visualisation of the pelvic structures and often permits the diagnosis of gynaecologic disorders and pelvic surgery without laparotomy. It is one of the most common surgical procedures performed by gynaecologists and the most important investigative tool for the evaluation of tubal disease in developed countries. In developing countries particularly sub-Saharan Africa, gynaecological laparoscopy, is still evolving and is mainly diagnostic. This study aimed to determine the incidence, indications and complications of gynaecological laparoscopy and to outline the common findings at laparoscopy in Usmanu Danfodiyo University Teaching Hospital, Sokoto. Materials and Methods: It was a 5-year retrospective study. Records of patients, who had gynaecological laparoscopy from 1st January 2008 to 31st December, 2012 were retrieved and relevant data extracted and analyzed using the SPSS for windows version 20.0. Results: There were 1047 gynaecological surgeries within the period under review with 92 laparoscopies giving an incidence of 8.8% or 87.9 per 1000. All the procedures were diagnostic and infertility, (58.3%) was the common indication followed by amenorrhea (13.1%). Common findings at laparoscopy were pelvic adhesions 38(45.2%), bilateral tubal block 35 (41.7%) and bilateral patent tubes 11(13.1%). Majority of the patients, 54(64.2%) did not have any complication. Vomiting, 11(13.1%) was the most common complication followed by abdominal pain 8(9.9%). Only 32 (38.1%) were discharged one day post laparoscopy. Conclusion: This incidence is low and shows limited skills, logistics and manpower. Efforts should be intensified towards training and provision of up to date facilities for endoscopic surgery especially in North-western Nigeria.

Keywords: Gynaecological, Diagnostic, Laparoscopy, UDUTH, Sokoto.


[Full Text Article]

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Google Scholar Indian Science Publications InfoBase Index (In Process) SOCOLAR, China Research Bible, Fuchu, Tokyo. JAPAN International Society for Research activity (ISRA) Scientific Indexing Services (SIS) Polish Scholarly Bibliography Global Impact Factor (GIF) (Under Process) Universal Impact Factor International Scientific Indexing (ISI), UAE Index Copernicus CAS (A Division of American Chemical Society) USA (Under Process) Directory of Open Access Journal (DOAJ, Sweden, in process) UDLedge Science Citation Index CiteFactor Directory Of Research Journal Indexing (DRJI) Indian citation Index (ICI) Journal Index (JI, Under Process) Directory of abstract indexing for Journals (DAIJ) Open Access Journals (Under Process) Impact Factor Services For International Journals (IFSIJ) Cosmos Impact Factor Jour Informatics (Under Process) Eurasian Scientific Journal Index (ESJI) International Innovative Journal Impact Factor (IIJIF) Science Library Index, Dubai, United Arab Emirates Pubmed Database [NLM ID: 101669306] (Under Process) IP Indexing (IP Value 2.40) Web of Science Group (Under Process) Directory of Research Journals Indexing Scholar Article Journal Index (SAJI) International Scientific Indexing ( ISI )