Laparoscopy and hysteroscopy in a Tertiary Hospital: A 4 year review

Abstract

Objective: To determine various indications for laparoscopy and hysteroscopy in Aminu Kano Teaching, hospital (AKTH), Kano.

Materials and Methods: This is a descriptive study conducted at the (AKTH, which involved all the patients who had laparoscopy and or hysteroscopy from January 2011 to December 2014 (4 year). Records of patients who had laparoscopy or hysteroscopy in AKTH within the study period were retrieved from the operation record book; their case files were retrieved, studied and recorded in a proforma. Data were analyzed using the Statistical Package for Social Sciences.

Results: The total number of patients who had diagnostic laparoscopy within the 4‑year study period was 221, but only 197 files were retrieved, giving a retrieval rate of 89.1%. The total number of patients who had diagnostic hysteroscopy was 28, but only 23 case files were retrieved, giving a retrieval rate of 82.1%. Five patients underwent both laparoscopy and hysteroscopy. The mean age and standard deviation of patients who had laparoscopy was 28.7 ± 5.8 years. The mean age and standard deviation of patients who had hysteroscopy was 32.3 ± 5.9 years. The most frequent indication for laparoscopy was for primary infertility 89 (45.2%), followed by secondary infertility 78 (39.6%). Asherman’s syndrome was the most common indication for hysteroscopy accounting for 52.1% of the procedure.

Conclusion: Infertility is the most common indication for laparoscopy in this centre whereas Asherman’s syndrome is the leading indication for hysteroscopy. Nearly all the procedures were diagnostic endoscopy.

Keywords: Anaesthesia; hysteroscopy; laparoscopy