Gasless laparoscopy: one year experience at Ain Shams University

ABSTRACT

To evaluate one year experience of the gasless laparoscopy technique using the whole abdominal wall-lifting method. Prospective observation study over one year. The Ain Shams University Obstetrics and Gynecology Hospital. In a one year period fifteen cases underwent gas-less laparoscopic procedure for different indications Nine cases for diagnostic infertility purposes and six cases for operative laparoscopy. The operative laparoscopy cases included 2 cases for adhesiolysis, 2 cases for laparoscopic assisted vaginal hysterectomy [LAVH], one case for missed intrauterine contraceptive device [IUCD] retrieval and one for ovarian cystectomy during pregnancy. All operations were performed successfully with gasless technique except 2 cases. One of them had laparoconversion to pneumoperitoneum. The other one had her LAVH completed through a laparotomy. There were no recorded surgical complications in the remaining 13 cases who were completed by gasless technique. There were uneventful postoperative recovery periods. The preliminary experience of gasless laparoscopy in the first year of introduction of abdominal wall lifting procedures in our institute seems to be encouraging. Continued modifications and training are mandatory to delineate the full range of benefit of this technique