Critical Analysis of Laparoscopic Diagnosis in Gynecology: New Era in Healthcare

Abstract

INTRODUCTION AND OBJECTIVES: Laparoscopy is a diagnostic method that is currently becoming consolidated for therapeutic use. It consists of endoscopically viewing the abdominal cavity. The aim here was to evaluate the indications for diagnostic video laparoscopy and the intraoperative findings in an endoscopic gynecology section of Zulekha hospital, Sharjah UAE over the last few years.

RESEARCH DESIGN: Retrospective descriptive study on all diagnostic video laparoscopy procedures of the last five years carried out in the endoscopic gynecology section of Zulekha hospital, Sharjah UAE over the last few years.

RESEARCH METHODS: The medical records of 618 women who underwent diagnostic laparoscopy between 2015 and 2020 were analyzed. The clinical characteristics of these women, the indications for video laparoscopy and the intraoperative findings were evaluated.

CLINICAL RESULTS: The women’s mean age was 32 ± 6.4 years. Most of the women had already undergone at least one previous operation (60%), which was most frequently a cesarean. The indications for performing video laparoscopy were infertility in 57%, chronic pelvic pain in 27% and others (intrauterine device, adnexal tumor, ectopic pregnancy or pelvic inflammatory disease) in 16%. The main laparoscopic findings were tubal alterations in the group with infertility (59.78%) and peritoneal alterations in the group with chronic pelvic pain (43.54%).

CONCLUSION: The main indications for video laparoscopy in gynecology were infertility and chronic pelvic pain. However, in most procedures, no abnormalities justifying these complaints were found.