Feasibility and efficacy of modern minilaparoscopy with 2.9 mm laparoscope for diagnostic and level II gynaecological procedure
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ObjectiveLaparoscopy has now become a state-of-the-art technique for many diagnostic and therapeutic procedures withknown advantages over laparotomy. There is scarce literature from India regarding minilaparoscopy, as per ourliterature review. Therefore, we performed this study with a 2.9-mm laparoscope to determine its feasibility andefficacy for diagnostic purposes and level II surgeries with the aim of reducing postoperative pain and better cosmesis. MethodsThis was a prospective study conducted from June 2019 to March 2020. Diagnostic modern minilaparoscopy witha 2.9-mm telescope was performed under general anesthesia by a single surgeon. Operative intervention wasperformed depending on the intraoperative findings. ResultsThe mean age was 29.3 years. The most common indication for laparoscopy was infertility (98%). Only diagnosticlaparoscopy was performed in 76% of patients, while 24% underwent operative laparoscopy. The various operativeprocedures performed were cystectomy, salpingectomy, ovarian drilling, and adhesiolysis. The mean visual analogscale scores at 1 hour and 2 hours postoperatively and discharge were 1.57±0.59, 1.41±0.51, and 1.29±0.47,respectively. Mild pain was present in 70 (72.2%) patients at the time of discharge, and only one patient had severepain. Five or more analgesic tablets were required in only 16.5% of patients in the postoperative period. There wasno wound infection or port-site hernia at follow-up. ConclusionModern minilaparoscopy with a 2.9-mm laparoscope is a feasible and safe option for diagnostic laparoscopy and levelII gynecological procedures with minimal postoperative morbidity, such as pain and wound infection, and providesgood cosmetic outcomes.
Abstract
ObjectiveLaparoscopy has now become a state-of-the-art technique for many diagnostic and therapeutic procedures withknown advantages over laparotomy. There is scarce literature from India regarding minilaparoscopy, as per ourliterature review. Therefore, we performed this study with a 2.9-mm laparoscope to determine its feasibility andefficacy for diagnostic purposes and level II surgeries with the aim of reducing postoperative pain and better cosmesis. MethodsThis was a prospective study conducted from June 2019 to March 2020. Diagnostic modern minilaparoscopy witha 2.9-mm telescope was performed under general anesthesia by a single surgeon. Operative intervention wasperformed depending on the intraoperative findings. ResultsThe mean age was 29.3 years. The most common indication for laparoscopy was infertility (98%). Only diagnosticlaparoscopy was performed in 76% of patients, while 24% underwent operative laparoscopy. The various operativeprocedures performed were cystectomy, salpingectomy, ovarian drilling, and adhesiolysis. The mean visual analogscale scores at 1 hour and 2 hours postoperatively and discharge were 1.57±0.59, 1.41±0.51, and 1.29±0.47,respectively. Mild pain was present in 70 (72.2%) patients at the time of discharge, and only one patient had severepain. Five or more analgesic tablets were required in only 16.5% of patients in the postoperative period. There wasno wound infection or port-site hernia at follow-up. ConclusionModern minilaparoscopy with a 2.9-mm laparoscope is a feasible and safe option for diagnostic laparoscopy and levelII gynecological procedures with minimal postoperative morbidity, such as pain and wound infection, and providesgood cosmetic outcomes.
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