Abstract
Aim. To find out the changing trends in indications for use of laparoscopy for diagnostic or operative procedures in gynaecology. Methods. This was a clinical audit of 417 women who underwent laparoscopic procedures over a period of 8 years from January 2005 to December 2012 in the Department of Obstetrics and Gynaecology at a tertiary care centre in Delhi. Results. A total of 417 diagnostic and operative laparoscopic procedures were performed during the period from January 2005 to December 2012. Out of 417 women, 13 women were excluded from the study due to inadequate data. 208 (51.4%) women had only diagnostic laparoscopy whereas 196 (48.6%) patients had operative laparoscopy after the initial diagnostic procedure. Change in trend of diagnostic versus operative procedures was observed from 2005 to 2012. There was increase in operative procedures from 10 (37.03%) women in 2005 as compared to 51 (73.91%) in 2012. The main indication for laparoscopy was infertility throughout the study period (61.38%), followed by chronic pelvic pain (CPP) (11.38%) and abnormal uterine bleeding (AUB) (9.4%). Conclusion. Over the years, there has been a rise in the rate of operative laparoscopy. Though the indications for laparoscopy have remained almost similar during the years, laparoscopy for diagnosis and treatment of CPP and AUB has now increased.
Highlights
Laparoscopy is a revolution in gynaecological surgery because of being safe and less invasive
In 2005, only 37.03% laparoscopies were operative whereas it increased to 73.91% in 2012 (Table 1, Figure 1)
Our study demonstrates an increase in operative laparoscopic surgery over 8 years in our institute which is similar to the study by Twijnstra et al and Dhaliwal et al.; but a study by Jarrell showed that though there was a decrease in the rate of diagnostic laparoscopy there was no complementary increase in operative procedure [4,5,6]
Summary
Laparoscopy is a revolution in gynaecological surgery because of being safe and less invasive. Initially its use in gynaecology was restricted to the diagnosis of infertility and sterilization procedures. With time and increasing expertise it is being used as the diagnostic as well as the therapeutic modality in different gynaecological problems [1–. Laparoscopy is one of the most common surgical procedures performed by gynaecologists. For procedures like endometriosis or ovarian cysts it has become the treatment of choice. We did a clinical audit on all cases that underwent laparoscopy over 8-year period (2005–2012) in a single gynaecological unit
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
