M. Ntakwinja1, B. Cadiere1, D. Mukwege1 1Panzi Hospital,Gynecology-Obstetric,Bukavu, SOUTH KIVU, Congo
Introduction: The reduction of parietal and peritoneal trauma that characterizes coeliosurgery is associated with immediate post-op pain reduction, shorter hospital admission and convalescence. The objective of this study was to report the coeliosurgery indications in gynecological problems which are being taken care in Gynecology-obstetric department at Panzi General Hospital.
Methods: This is a retrospective study pertaining 44 patients received in the department for different gynecological problems and who went for coeliosurgery with or without conversion to conventional surgery between January 2013 and October 2015. The data were collected from patient files, entered on Excel 2013 2010 and analyzed by EPI-Info software version 7.2.
Results:The patients’ average age is 39 years. The mainly problems observed are pelvic masses and pelvic algies (59.1%) followed by primary sterility (11.3%). The surgery procedure consisted of an adhesiolysis (22.7%) or a myomectomy (13.6%). A conversion was necessary in 9.09% of the cases, motivated by the importance of the adhesions and the large myomas (3 cases). The average period of hospital admission is 2 days.
Conclusion:Coelioscopy is a technique to be integrated and developed in gynecology department of developing countries considering its diagnostic and therapeutic advantages, especially in the management of tubal infertility due to infection.