A DESCRIPTIVE RESEARCH ON EXCHANGE OF EXPERIENCE FOR THE LAPAROSCOPIC GYNECOLOGICAL SURGERIES REGARDING THEIR SYMPTOMS, ADOPTED PROCEDURES AND ASSOCIATED COMPLICATIONS FOR THE REDUCTION OF POST-OPERATIVE PAIN IN PATIENTS

Aims: The aim of our research was the experience sharing about the surgeries of gynecological laparoscopic nature in the Mayo Hospital, Lahore. Methods: We held a descriptive research from Jan, 2015 to May, 2016 for the analysis of the patients who experienced gynecological laparoscopic surgeries for their indications, procedure types and complications. Results: Our research sample was 217 patients; among them a number of the cases were in the age group of 26 – 30 years as 53 (24.4%). Ovarian Cyst cases were 111 (51.1%), ectopic pregnancy cases were 27 (12.44%). There were 8 cases treated through cholecystectomy surgeons and hysterectomy or ovarian cystectomy. Diagnostic laparoscopy cases were 32 (15%). Laparoscopic hysterectomy was carried out in 33 cases (16%). Laparotomy conversion was carried out in 8 cases (3%) and vascular injury was observed in only one case. Repeated and common postoperative complaint was pain in variable degrees, which was treated through oral and parenteral analgesics. The diet through oral way was started in 4th or 6th hour and after 24 hours movement was started. Hospital stay of two days was observed in 164 cases (75%) and above two days stay was observed in 53 cases (25%). Conclusions: Post-operative pain can be reduced through laparoscopic surgery in the setting of our research. It also decreased the rate of morbidity after the operation and lessen the stay at the hospital with immediate and prompt recovery. However, adequate expert and skilled based training is mandatory for the successful and skilled laparoscopic surgeries. Keywords: Cystectomy, Hysterectomy and Gynecological Laparoscopic Surgeries (GLS).