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Assessment of Five Years of Endoscopic Activity in a Maternity Hospital in the Suburbs of Dakar

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 complica- tions. For this reason, we have collected all the laparoscopic procedures carried out at the Gynecology and Obstetrics Department of the Pikine National Hos- pital 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 man- agement of infertility in 101 cases, or 57.1% of patients. Laparoscopy re- mained 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 laparosco- py was 59 min with extremes of 20 to 250 min. It was noted that 4 cases of la- paroconversion 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 coun- tries, we are witnessing a considerable decline in the indications of laparoto- my to the profile of laparoscopy, especially for benign adnexal pathology and infertility. An extension to the gynecological malignant pathology is the ulti- mate challenge.

Auteur(s) : Abdoul Aziz Diouf, Moussa Diallo*, Fatoumata Doucoure?, Astou Coly Niassy Diallo, Magatte Mbaye, Aminata Niass, Codou Sene Seck, Anna Dia Diop, Alassa
Année de publication : 2018
Revue : Open Journal of Obstetrics and Gynecology,
Type : Article
Mise en ligne par : DIOUF Abdoul Aziz