Trend of intraoperative complications during laparoscopic surgery for pelvic endometriosis at a private set up in north india: a retrospective analysis of four years

Author: 
Preeti Yadav., Rahul Manchanda., Sandhya Deora and Madhumitha A

Background: Endometriosis is a common chronic disease mostly seen in young women. Endometriosis surgery is associated with a particularly high risk for complications.
Objectives: To evaluate complications occurring during laparoscopic surgeryfor endometriosis
Methods: The study was a retrospective observational study of four years done at Manchanda endoscopic centre, PSRI hospital, New Delhi. Inclusion criteria - 119 women who underwent laparoscopic surgical treatment of pelvic endometriosis between october 2013-october 2017 were recruited.
Results: 119 patients underwent laparoscopic surgery for pelvic endometriosis during the study period. Mean age and parity were 29.6 ± 4.7 years and 0.3 ± 0.92 respectively. Majority of the patients, 98 (82.35%) presented with complaint of infertility. Dysmenorrhoea was the second most commonly reported complaint, 31(26.05 %). The most commonly done procedure was laparoscopic endometriotic cystectomy, 88 (73.95 %). Only 1 (0.84 %) case had intraoperative complication of complete ureteric transection while doing total laparoscopic hysterectomy with bilateral salpingooopherectomy.The overall laparoconversion rate was 1/119 (0.84%).
Conclusion: The present study conclude that with proper surgical skills and increasing learning curve for laparoscopic surgery for endometriosis, it is possible to decrease the intraoperative complication rate.

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DOI: 
http://dx.doi.org/10.24327/ijcar.2018.10017.1677
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