LAPAROSCOPY;

ITS ROLE IN DIAGNOSIS OF VARIOUS GYNECOLOGICAL CONDITIONS

Abstract

Introduction: Diagnostic Laparoscopy is considered to be the gold standard for the evaluation of the pelvis and is considered a
safe procedure. Diagnostic Laparoscopy is a technique in the routine investigation and treatment of infertility as well as other gynecological
problems. Objectives: To determine, Laparoscopic findings in different gynecological conditions, different causes of infertility and
complications of laparoscopy Design: Retrospective, descriptive study. Material And Methods: We reviewed case records of all patients who
underwent laparoscopy for their different Gynecological problems. Data were collected from patient case records in a data entry sheet Results:
In our study a total of Thirty patients under went laparoscopy for investigation of different gynecological problems. There were 17 patients who
have primary infertility and 6 have secondary infertility while 7 presented with Lower abdominal pain. In our study the leading cause of primary
infertility was Polycystic Ovarian Disease(29%).Other causes were bilateral tubal blockade (23.53 %) ,17% has PID and fibroid uteri, While one
patients shown Endometriosis as well as one patient had no obvious pathology.(5.88 %).On laparoscopic examination of secondary
infertility 50% shown Tubal blocked while 16.67 shown Fibroid uterus and PID.One patient had normal pelvic findings(16.67). Regarding
patients presented with pain lower abdomen 57.15% has ovarian cyst,28.58% has Ectopic pregnancy while one case(14.29%) had hetrotropic
pregnancy. In 24 patients had no complication and recovery was smooth. laparoscopy had to be converted into Laparotomy due to significant
hemorrhage in two patient and wound infection was observed in two patients. One patient presented with post operative fever and one
presented with abdominal pain. Conclusions: Laparoscopy is a valuable diagnostic tool for females in different gynecological problems. The
benefit of the laparoscopy to open surgery include less pain, less scarring, less disability and quicker recovery.