Profile of Patients who underwent Laparoscopic surgery for Endometriosis at Kathmandu Model Hospital

Sadhana Sah, Ganesh Dangal, Aruna Karki, Hema Kumari Pradhan, Ranjana Shrestha, Kabin Bhattachan, Sabita Shrestha
In: Journal of Menopause Society of Nepal · 2026 · vol. 1(1) , pp. 23–27 · doi:10.68225/9qb1qs21 · W7213302302
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This one-year observational study at Kathmandu Model Hospital characterized 65 patients undergoing laparoscopic surgery for endometriosis, finding that advanced-stage disease was prevalent and the procedure demonstrated safety with low complication rates.

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This observational study analyzed the clinical profile and surgical outcomes of 65 patients undergoing laparoscopic surgery for endometriosis at Kathmandu Model Hospital over a one-year period. The cohort had a mean age of 34.5 years, with dysmenorrhea being the predominant symptom, while nearly all cases presented with advanced-stage disease classified by rASRM criteria. Surgical interventions were divided between fertility-preserving procedures in more than half of the patients and radical surgeries in the remainder, resulting in a low overall complication rate of 6.1% and an average hospital stay of approximately three days. This paper is centrally about endometriosis — specifically detailing the demographic characteristics, disease staging, and safety profiles associated with laparoscopic management in this specific regional setting.

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Abstract

Introduction Endometriosis is a common gynaecological condition affecting women of reproductive age group. It is a significant cause of dysmenorrhea and subfertility. Laparoscopy remains the gold standard for diagnosis and management. However, data on patient profiles and surgical characteristics are limited. This study was conducted with an aim to study about the profile of patients undergoing laparoscopic surgery for endometriosis at Kathmandu Model Hospital. Methods This is an observational study conducted in the department of obstetrics and gynaecology at Kathmandu Model Hospital Institute of Health Sciences over one year period from January to December 2025 among all patients who underwent Laparoscopic surgery for endometriosis. Data regarding demographic characteristics, symptoms, revised American Society of Reproductive Medicine (rASRM) staging, type of surgery, perioperative complications were collected in predesigned proforma and then entered in SPSS version 20. Results The rate of endometriosis surgery was 10.48 % (65 cases out of a total of 620 gynaecological surgery) during the study period. The mean age of the patient was 34.5±7.9 years. Dysmenorrhea was the most common presenting symptom (84.6%) followed by heavy menstrual bleeding and subfertility (38.5% each). Majority of patients (98.4%) belonged to advanced stage disease with 66.2% in stage IV and 32.2% in stage III. Fertility preserving surgery was performed in 55.4% while 44.6% underwent radical surgery. History of previous surgery for endometriosis was seen in 21.5%. Overall complication rate was 6.1%. The mean duration of hospital stay was 3.37±0.65 days. Conclusions Endometriosis has with varied clinical presentation occurring mainly in reproductive age group. Laparoscopic surgery for endometriosis is safe even in advanced stage disease and those with previous abdominopelvic surgery with low complication rates.
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Introduction

Endometriosis is a common gynaecological condition affecting women of reproductive age group. It is a significant cause of dysmenorrhea and subfertility. Laparoscopy remains the gold standard for diagnosis and management. However, data on patient profiles and surgical characteristics are limited. This study was conducted with an aim to study about the profile of patients undergoing laparoscopic surgery for endometriosis at Kathmandu Model Hospital.

Methods

This is an observational study conducted in the department of obstetrics and gynaecology at Kathmandu Model Hospital Institute of Health Sciences over one year period from January to December 2025 among all patients who underwent Laparoscopic surgery for endometriosis. Data regarding demographic characteristics, symptoms, revised American Society of Reproductive Medicine (rASRM) staging, type of surgery, perioperative complications were collected in predesigned proforma and then entered in SPSS version 20.

Results

The rate of endometriosis surgery was 10.48 % (65 cases out of a total of 620 gynaecological surgery) during the study period. The mean age of the patient was 34.5±7.9 years. Dysmenorrhea was the most common presenting symptom (84.6%) followed by heavy menstrual bleeding and subfertility (38.5% each). Majority of patients (98.4%) belonged to advanced stage disease with 66.2% in stage IV and 32.2% in stage III. Fertility preserving surgery was performed in 55.4% while 44.6% underwent radical surgery. History of previous surgery for endometriosis was seen in 21.5%. Overall complication rate was 6.1%. The mean duration of hospital stay was 3.37±0.65 days.

Conclusions

Endometriosis has with varied clinical presentation occurring mainly in reproductive age group. Laparoscopic surgery for endometriosis is safe even in advanced stage disease and those with previous abdominopelvic surgery with low complication rates. Downloads Published Issue Section License Copyright (c) 2026 Journal of Menopause Society of Nepal This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.

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