尼日利亚西南部一家三级医院的妇科内窥镜手术:一项前瞻性研究

A. Fehintola, O. Awotunde, O. Ogunlaja, L. Olujide, S. Akinola, S. Oladeji, O. Aaron
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引用次数: 1

摘要

背景:由于许多限制,尼日利亚的中心经过几年的挣扎,现在正在进行妇科内窥镜(GE)手术。这项研究描述了尼日利亚西南部一家三级医院妇科主诉患者的各种GE手术的结果。材料与方法:本研究为前瞻性纵向设计。招募了2014年5月至2019年4月期间在该单位进行内镜手术的所有符合条件的患者。排除在外的是那些拒绝参加研究的人。参与者接受了一年的随访。在术前、术中和术后收集数据。这些数据包括患者的社会人口学特征、手术适应症、实施的手术和手术结果。结果:在这段时间内接受各种手术的287名患者中,我们招募了270名符合条件的患者(94.1%)参加研究。我们失去了14名患者(5.2%)进行随访。172人(63.7%)只接受了腹腔镜检查。80人(29.6%)接受了宫腔镜和腹腔镜检查,其余20人(6.7%)仅接受了宫腔镜检查。38例(14.1%)为紧急情况,125例(46.3%)仅为诊断性。进行的手术包括宫腔镜摘除丢失的宫内节育器(6.3%)和腹腔镜输卵管绝育术(5.2%)。我们还进行了腹腔镜卵巢打孔治疗多囊卵巢综合征(19.3%)。6名患者(2.2%)的手术改为剖腹手术。我们没有记录到死亡。结论:我们的研究结果表明,在尼日利亚进行GE手术是可行的,结果可接受。本地调整和即兴创作将确保降低成本,并在我们的环境中广泛使用这些程序。
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Gynecological endoscopic procedures in a tertiary hospital in South-West Nigeria: A prospective study
Background: After several years of struggling due to many constraints, centers in Nigeria are now performing Gynecological Endoscopy (GE) procedures. This study describes the outcome of various GE procedures in patients with gynecological complaints in a tertiary hospital in South-West Nigeria. Materials and Methods: This study was a prospective longitudinal design. All eligible patients who had endoscopic procedures in the unit between May 2014 and April 2019 were recruited. Excluded were those who refused to take part in the study. The participants were followed up for a year. Data were collected during the preoperative, intraoperative, and postoperative periods. This data included the patient's sociodemographic characteristics, indications for the procedures, procedures carried out, and the procedures' outcome. Results: Of the 287 patients who had various procedures during this period, we recruited two hundred and seventy eligible patients (94.1%) for the study. We lost fourteen patients (5.2%) to follow up. One hundred and seventy-two (63.7%) had laparoscopy only. Eighty (29.6%) had hysteroscopy and laparoscopy, while the remaining 20 (6.7%) had hysteroscopy only. Thirty-eight (14.1%) were emergencies, while 125 (46.3%) were only diagnostic. Procedures carried out include hysteroscopic removal of missing intrauterine devices (6.3%) and laparoscopic tubal sterilization with Falope ring application (5.2%). We also carried out laparoscopic ovarian drilling for polycystic ovary syndrome (19.3%). Six patients (2.2%) had their surgery converted to laparotomy. We recorded no mortality. Conclusion: Our results showed the feasibility of GE surgery in Nigeria with an acceptable outcome. Local adaption and improvisation will ensure cost reduction and widespread use of these procedures in our setting.
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发文量
65
审稿时长
20 weeks
期刊介绍: The Nigerian Journal of Medicine publishes articles on socio-economic, political and legal matters related to medical practice; conference and workshop reports and medical news.
期刊最新文献
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