Mehnaz Raees, Shahzadi Saima Hussain, Laila Zeb.
The Impact of a Series of Laparoscopic Surgery Workshops in Gynecology Practices - Observations in a Tertiary Care Hospital.
J Med Sci Jan ;30(2):131-3.

Objectives: To determine the impact of a series of Laparoscopic Surgery Workshops in Gynecology practices in a tertiary care hospital in Peshawar Material and Methods: This was a cross-sectional descriptive study performed in the Department of Obstetrics and Gyne-cology at Lady Reading Hospital, Peshawar, Pakistan. From January 2018 to December 2018, four advanced laparoscopic workshops (of 3 days` duration) were arranged by the Department of Obstetrics and Gynecology. These workshops were de-signed to train practicing gynecologists on the fundamentals of various diagnostic and therapeutic laparoscopic procedures like visualization (of tubes, ovaries, uterus, and dye test), hysterectomy, cystectomies, salpingectomies, and adhesiolysis. Data related to the type, number of procedures, and complications (significant bleeding, re-opening, urological trauma, and gut perforation) were recorded before the introduction of the workshops (January to December 2017) and after the work-shops (January to December 2019). The data were analyzed using SPSS- 23.Results: In total, 391 laparoscopic procedures were done in 2018, of which 40 (10.23%) were therapeutic and 351 (89.76%) were diagnostic. After attending 4 workshops, the data from 2019 showed an increased number of both diagnostic and operative procedures. A total of 442 laparoscopic procedures were done, of which 66 (14.93%) were therapeutic and 376 (85.06%) were diagnostic. There was a 15% increase in the number of these procedures. The number of laparoscopic hys-terectomies increased from 0 before to 16 after the training. No significant complications were observed before and after all these diagnostic and therapeutic procedures.Conclusion: Advanced laparoscopic workshops provide an effective platform for training the gynecologists about minimally invasive surgical techniques. In our observation, the practicing gynecologists significantly increased the number of both diagnostic and therapeutic procedures after these advanced laparoscopic workshops.

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