The Impact of a series of Laparoscopic Surgery Workshopsin Gynecology practices- Observations in a tertiary care hospital
Abstract
Objectives: To determine the impact of a series of Laparoscopic Surgery Workshops in
Gynecology practices in a tertiary care hospital in Peshawar
Material and Methods: This was a cross-sectional descriptive study performed in the
Department of Obstetrics and Gynecology at Lady Reading Hospital, Peshawar, Pakistan. From
January 2018 to December 2018, four advanced laparoscopic workshops (of 3 days’ duration)
were arranged by the Department of Obstetrics and Gynecology. These workshops were
designed to train practicing gynecologists on the fundamentals of various diagnostic and
therapeutic laparoscopic procedures like visualization (of tubes, ovaries, uterus, and dye test),
hysterectomy, cystectomies, salpingectomies, and adhesiolysis. Data related to the type, number
of procedures, and complications (significant bleeding, re-opening, urological trauma, and gut
perforation) were recorded before the introduction of the workshops (January to December
2017) and after the workshops (January to December 2019). The data were analyzed using SPSS23.
Results: In total, 391 laparoscopic procedures were done in 2018, of which 40 (10.23%) were
therapeutic and 351 (89.76%) were diagnostic. After attending 4 workshops, the data from 2019
showed an increased number of both diagnostic and operative procedures. A total of 442
laparoscopic procedures were done, of which 66 (14.93%) were therapeutic and 376 (85.06%)
were diagnostic. There was a 15% increase in the number of these procedures. The number of
laparoscopic hysterectomies increased from 0 before to 16 after the training. No significant
complications were observed before and after all these diagnostic and therapeutic procedures.
Conclusion: Advanced laparoscopic workshops provide an effective platform for training the
gynecologists about minimally invasive surgical techniques. In our observation, the practicing
gynecologists significantly increased the number of both diagnostic and therapeutic procedures
after these advanced laparoscopic workshops.
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