TITLE:
Assessment of Five Years of Endoscopic Activity in a Maternity Hospital in the Suburbs of Dakar
AUTHORS:
Abdoul Aziz Diouf, Moussa Diallo, Fatoumata Doucouré, Astou Coly Niassy Diallo, Magatte Mbaye, Aminata Niass, Codou Sene Seck, Anna Dia Diop, Alassane Diouf
KEYWORDS:
Endoscopy, Gynecology, Pikine
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.8 No.4,
April
3,
2018
ABSTRACT: Introduction: The
practice of minimally invasive surgery in Senegal occupies more and more of a
preponderant place in fields that previously did not allow it. Thus in our
practice in gynecology we are witnessing an explosion of these operative
indications especially for benign adnexal pathology. Patients and Method: The objective of this study was to evaluate the
evolution of laparoscopic practice in terms of frequency, indication of
duration and operative complications. For this reason, we have collected all the laparoscopic procedures
carried out at the Gynecology and Obstetrics Department of the Pikine National Hospital since January 1st, 2012 over
a period of 60 months. Endoscopic surgery accounted for 20.1% of all
gynecological and breast procedures. There were 195 cases (14.9%) of
laparoscopic surgery and 69 cases (5.2%) of operative hysteroscopy. The average
age of our patients was 34 years with extremes of 15 and 67 years. The
intervention was motivated by the exploration or management of infertility in
101 cases, or 57.1% of patients. Laparoscopy remained exploratory in 15.3% of
cases (279 patients) with 55 cases of ovarian tumors presumed to be benign. The
mean duration of diagnostic laparoscopy was 39 min with extremes of 20 to 150
min; while that of operative laparoscopy was 59 min with extremes of 20 to 250
min. It was noted that 4 cases of laparoconversion are 2.8% of all patients in our series. The postoperative course was 99.4%
simple. Conclusion: In our practice and as in the developed countries,
we are witnessing a considerable decline in the indications of laparotomy to
the profile of laparoscopy, especially for benign adnexal pathology and
infertility. An extension to the gynecological malignant pathology is the
ultimate challenge.