Day care laparoscopic surgery in gynaecology at a dedicated unit in Nairobi, Kenya

Abstract

Objective: To evaluate and audit the outcomes of Gynaecological Day care Laparoscopic Surgery inNairobi,Kenya

Design: Retrospective case analysis

Setting: The International Centre for Minimal Access Surgery, Nairobi

Subjects: one thousand three hundred and seventy nine patients undergoing Laparoscopic Surgery

Results: Between January 2011 to December 2015 a total of 1,379 Laparoscopic procedures were undertaken during the reporting period of which 1,121 ( 88.5 % ) were done as day procedures. In total 137 patients ( 9.9 % ) spent one night at ICMAS, 21 ( 1.5 % ) were transferred to a Major Hospital and 41 patients (2.9 %) underwent conversion to Laparotomy. There were two Hospital re-admissions (0.14 % ) and one complication ( 0.07% ), a bladder injury was encountered.

Conclusions: Daycare surgery is a continually evolving speciality being competently performed by several units by various disciplines world over , including Kenya. In recent years the complexity of the procedures has increased with a wider range of patients being considered for challenging surgeries including those presenting with acute conditions. Our experiences have been favourable.