Abstract
Introduction: The field of minimal invasive surgery has flowered explosively in the recent past. Modern endoscopy has changed the approach to diagnosis as well as the operative procedure. This study was done with the aim of sharing the experiences of gynecological laparoscopic procedures done at Nobel Medical College and Teaching Hospital, Nepal.
 
 Methods: A descriptive study was done in the department of Obstetrics and Gynecology, Nobel Medical College from 1st April 2015 to 30th March 2016. All the patients undergoing laparoscopic procedures were analyzed for the indication, type of procedures and their complications.
 
 Results: During the study period, 100 patients underwent laparoscopic procedures including 25 cases of diagnostic and 75 cases of therapeutic procedures. Fiftythree patients with an ovarian mass underwent laparoscopic cystectomy. Laparoscopic salpingectomy was done in 11 patients with ectopic pregnancy. Laparoscopy assisted vaginal hysterectomy (LAVH) was done in eight cases and laparoscopic sterilization in two cases. One patient underwent successful myomectomy. One patient undergoing laparoscopic cystectomy and one case of LAVH had conversion to laparotomy because of dense adhesion and vault bleeding respectively. No other major complication noted apart from port side bleeding, infection and vault hematoma.
 
 Conclusion: Laparoscopy is a safe and feasible alternative to open gynecological surgeries though it has a longlearning curve and a lot of expertise is necessary.
Highlights
The field of minimal invasive surgery has flowered explosively in the recent past
Laparoscopy is a revolution in gynecological surgery as it is safe and less invasive
It was first performed by Jacobeus in Sweden in 1910.1,2 History shows that in gynecological endoscopy surgery, there was massive enthusiasm in the beginning but a - Assistant Professor b - Lecturer c - Department of Obstetric and Gynecology, Nobel Medical College Teaching Hospital, Biratnagar, Nepal
Summary
The field of minimal invasive surgery has flowered explosively in the recent past. Modern endoscopy has changed the approach to diagnosis as well as the operative procedure. This study was done with the aim of sharing the experiences of gynecological laparoscopic procedures done at Nobel Medical College and Teaching Hospital, Nepal. Laparoscopy is a revolution in gynecological surgery as it is safe and less invasive It was first performed by Jacobeus in Sweden in 1910.1,2 History shows that in gynecological endoscopy surgery, there was massive enthusiasm in the beginning but a - Assistant Professor b - Lecturer c - Department of Obstetric and Gynecology, Nobel Medical College Teaching Hospital, Biratnagar, Nepal. The major hurdle for this is the learning curve for endoscopy surgeries.[3] In developing countries like Nepal, we are still in a crawling phase, the major reason for this being lack of expertise Another reason is that the unit is incorporated along with Obstetrics, where workload is high and time factor is another barrier
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