Kishwar Ali, Nadir Saif Ullah Khan, Humera Latif, Muhammad Zarin.
A short experience of laparoscopic surgeries at district Battagram.
Pak J Surg Jan ;32(4):274-7.

Background: Laparoscopic surgery is a new advancement, replacing majority of the open surgical procedure now-a-days. We conducted this study to see the feasibility of minimally invasive approach at district level hospital. Method: Th is study was conducted in a private setup at district Battagram from Dec 2015 to September 2016. A total of 52 patients with acute appendicitis and symptomatic gall stones were included. Laparoscopic appendicectomy and cholecystectomy were carried out. Patients were observed post operatively. Results: A total of 52 patients, 7(13%) male and 45(87%) female were included in the study. The mean age of the patients was 27 years. Laparoscopic appendicectomy was carried out in 35(67%) while lap chole in 17(33%) patients. There were 7 males and 28 females in the laparoscopic appendicectomy group while there were 17 females with no male in the lap chole group. In the entire series, 5 patient of lap appendicectomy were converted to open. The conversion rate was 9.6%. No patient developed port site wound infection. Hospital stay was 48 hours on average. The patients were satisfied with the minimally invasive procedure. Conclusion: laparoscopic surgery is a feasible option at district level and it should be encouraged.

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