Experience with gynaecological laparoscopies in Wad Medani Hospital, Sudan.

ABSTRACT

PIP: This prospective case series study determined the main indications and complications of laparoscopy, evaluated the role of laparoscopy in infertility management at Medani Hospital in Sudan, and examined the magnitude of tubal diseases as an etiological factor in infertility. A total of 703 women selected for laparoscopy for different reasons were enrolled in the study. Infertility, both primary and secondary, was the main indication for laparoscopy, accounting for 94.32% of cases. Of all infertile women studied, 46.6% were diagnosed as having tubal disease. The overall complication rate was 22.76/1000, with two major complications and no death. The rest were minor complications, which required only 24-hour monitoring with no further management. In conclusion, the study results suggest that laparoscopy is a valuable and safe procedure in the management of various gynecological problems, especially infertility.