الفهرس | Only 14 pages are availabe for public view |
Abstract Endoscopic surgery is now widely recognised as an efficient technique to manage gynecologic diseases and reproductive medicine by surgeons and patients. The main advantages in favor of this approach include rapid recovery, shorter hospital stay, decreased postoperative pain, and less bleeding.(38) This descriptive observational study was carried out between March and September 2022 and involved all gynecologic endoscopies performed at El-shatby university hospital. Different variables were recorded for patient characteristics, indication for surgeries, complications (major and minor), conversions to laparotomy, and also monitoring of WHO surgical safety checklist implementation. Although endoscopic surgeries are more safe, they have also some complications and limitations especially in less experienced hands and less equipped place. The shortage of equipment, lack of the number of interested experienced surgeons, and the lack of proper training program inforced the unit to perform more simple procedures on low surgical risk patients to avoid the higher incidence of complications. This also revealed low performance of the department in management of advanced cases especially in gynaoncology and major gynecological operations like TLH and laparoscopic myomectomy. The primary objective of the WHO surgical safety checklist is to support teams in ensuring that they consistently follow a few crucial safety protocols, thereby decreasing the most frequent and preventable complications compromising patients’ lives and wellbeing. |