Diagnostic and Operative Laparoscopy: Experience in a Teaching Hospital

Objective: The objective of this study was to determine under the view literature, the indications, findings, and complications of diagnostic and operative laparoscopy performed at a teaching hospital. Methods: A total of 503 cases for which the laparoscopy was performed for diagnostic and operative purposes was included into this study. Demographic characteristics, length of operative time, length of hospital stay, conversion rate to open procedure, and complication rates were evaluated. Results: In our clinic, operative laparoscopy was performed in 405 out of 503 cases. The mean age, gravida, parity, and living child numbers of cases were 32.97±7.29 years, 1.06±1.72, 0.47±1.11, and 0.6±1.15, respectively. Indications of patients undergoing laparoscopy were as follows: diagnostic purpose, tubal obstructions, polycystic ovary syndrome, myoma uteri, adnexial mass, habitual abortion, tubal ligation, adhesions, ectopic pregnancy, amenorrhea, decensus uteri, intrauterine device extraction, chronic pelvic pain, repair of uterine perforation, which occurred during hysteroscopy. Laparotomy was required in seven cases while performing laparoscopy. The complications were reported in 17 of 503 patients with diagnostic and operative laparoscopy. Conclusion: Laparoscopic procedures have become the choice of treatment for most gynecological diseases. Avoidance of laparotomy, smaller incisions, lesser perioperative problems, minimal tissue damage, and shorter duration of hospitalization are well-known advantages of laparoscopy. However, the physician must be an expert in its application and must have adequate knowledge to overcome complications. (JAREM 2015; 5: 97-101)