Setting up minimal invasive surgery services in gynecology in a resource-limited setting: an experience from Bhutan.

Autor: Tshering, Sangay, Dorji, Thinley, Dorji, Namkha, Monger, Renuka, Choden, Kesang, Lhamo, Kezang
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Zdroj: BMC Research Notes; 2/16/2022, Vol. 15 Issue 1, p1-6, 6p
Abstrakt: Objective: To describe the clinical profile of minimal invasive procedures performed in gynecology at the national referral hospital in Bhutan. A review of such procedures performed in gynecology was needed to assess the baseline information and generate our own experience. We conducted a descriptive study with a review of hospital records of minimal invasive procedures performed from 1st January to 31st December 2020 at the Department of Gynecology. Data were extracted into a structured pro forma. Descriptive statistics were used to express the results. Results: The mean age of the patients was 33.9 ± 8.6 years of which the maximum was in the age group 25–34 years. 28 (17.5%) and 132 (82.5%) patients underwent emergency and elective procedures respectively. 142 (88.8%) and 18 (11.2%) patients underwent laparoscopic and hysteroscopic procedures respectively. Ovarian cystectomy was the most commonly performed procedure. The median operating time was 100 min (IQR 62.5–157.5). The overall complication rate was 2.5%. The median postoperative length of hospital stay was 24 h (IQR 3–24). Using our data and experience, we recommend a new health policy to recognize MIS in gynecology as a subspecialty and strengthen the existing service in gynecological MIS. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index
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