Limitations in Total Laparoscopic Hysterectomy in Bangladesh

Israt Jahan Ila, Afroza Ghani, Jannat Ara Ferdouse, Asia Khatun, Sumana Rahman, Jobayed Hasan, Mohammad Rashedul Hassan
In: Journal of Shaheed Suhrawardy Medical College · 2018 · vol. 10(1) , pp. 3–5 · doi:10.3329/jssmc.v10i1.38895 · W2901325580
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This study identified a lack of appropriate instruments, adequate ICU support, and ongoing surgeon training as limitations to total laparoscopic hysterectomy in Bangladesh, despite which 87.5% of patients recovered well.

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This retrospective observational study evaluated the limitations and surgical risk factors associated with total laparoscopic hysterectomy in Bangladesh. Researchers analyzed data from 80 patients who underwent the procedure between January 2016 and December 2017 at Shaheed Suhrawardy Medical College Hospital, focusing on demographic factors, staff training, instrument availability, and anesthesia quality. Despite challenges such as a lack of appropriate instruments and adequate ICU support, the study found that 87.5% of patients recovered well. The authors identified these facility constraints as significant barriers to advancing laparoscopic surgical techniques in the region. Relevance to endometriosis: adenomyosis is listed among the specific indications for the hysterectomies performed in this study.

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Abstract

Laparoscopic Hysterectomy is achieving great popularity nowadays. Our people are becoming increasingly interested in new advances in this field of surgery. Highly skilled surgical technique, longer operative time and expensive technology are observed to be the factors that impede the advancements in laparoscopic surgery1.Objective: The aim of our study is to analyze the limitations of laparoscopic hysterectomy in our country.Methods: This is a retrospective observational study where we have reviewed demographic data, compliance of the patients, quality of anaesthesia, efficiency of supportive staffs, adequacy of appropriate instruments, continuous training of surgeons and surgical risk factors. Total 80 Total Laparoscopic Hysterectomy (TLH) were done between January’ 2016 to December’2017 in Shaheed Suhrawardy Medical College Hospital (ShSMCH), Dhaka.Result: In this study, we analyzed eighty patients who underwent total laparoscopic hysterectomy for fibroid uterus, adenomyosis, recurrent post-menopausal bleeding, abnormal Uterine bleeding(AUB) etc. We tried to analyze some limitations and challenges which we can overcome. In spite of lack of appropriate instruments, adequate ICU support and repeated training in specialized centre at home and abroad, 87.5% patients recovered well. The aim of our study was to identify the surgical risk factors of the patients and limitations in our theatre environmentJ Shaheed Suhrawardy Med Coll, June 2018, Vol.10(1); 3-5
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Limitations

in Total Laparoscopic Hysterectomy in Bangladesh

Keywords

Laparoscopic hysterectomy, surgical risk factor, limitations in facilitiesAbstract Laparoscopic Hysterectomy is achieving great popularity nowadays. Our people are becoming increasingly interested in new advances in this field of surgery. Highly skilled surgical technique, longer operative time and expensive technology are observed to be the factors that impede the advancements in laparoscopic surgery1.

Objective

The aim of our study is to analyze the limitations of laparoscopic hysterectomy in our country.

Methods

This is a retrospective observational study where we have reviewed demographic data, compliance of the patients, quality of anaesthesia, efficiency of supportive staffs, adequacy of appropriate instruments, continuous training of surgeons and surgical risk factors. Total 80 Total Laparoscopic Hysterectomy (TLH) were done between January’ 2016 to December’2017 in Shaheed Suhrawardy Medical College Hospital (ShSMCH), Dhaka.

Result

In this study, we analyzed eighty patients who underwent total laparoscopic hysterectomy for fibroid uterus, adenomyosis, recurrent post-menopausal bleeding, abnormal Uterine bleeding(AUB) etc. We tried to analyze some limitations and challenges which we can overcome. In spite of lack of appropriate instruments, adequate ICU support and repeated training in specialized centre at home and abroad, 87.5% patients recovered well. The aim of our study was to identify the surgical risk factors of the patients and limitations in our theatre environment J Shaheed Suhrawardy Med Coll, June 2018, Vol.10(1); 3-5 256 199

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Condition tags

adenomyosis

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