::INDO AMERICAN JOURNAL OF PHARMACEUTICAL SCIENCES::

CODEN : IAJPBB
issn 2349-7750

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TITLE:

COMPARING THE FEASIBILITY AND RESULTS OF LAPAROSCOPIC GYNECOLOGICAL SURGERY BETWEEN OBESE AND OVERWEIGHT PEOPLE, NORMAL WEIGHT WOMEN AND UNDERWEIGHT WOMEN

AUTHORS:

Dr Muhammad Zakriya Hayat, Dr. Muhammad Asif, Dr. Sadia Hussain

ABSTRACT:

Aim: To look at achievability and careful result of laparoscopic gynecologic medical procedure between hefty, overweight, typical weight, and underweight women. Methods: Four principle classes of gynecologic infection were recognized: uterine fibroids, kindhearted adnexal masses, endometriosis, and endometrial malignant growth (stage I). Our current research was conducted at Jinnah Hospital, Lahore from March 2019 to February 2020. For every classification patient were separated into 4 gatherings: underweight (BMI ,19.6 kg/m2), ordinary weight (BMI 19.6–25.8 kg/m2), overweight (BMI 26–28.8 kg/m2), and corpulent (BMIR30 kg/m2). Results: The selected outcomes were the duration of the medical procedure, the rate of transformation of the laparotomy, the postoperative complexity and the duration of the emergency clinic. No measurable contrasts in sector information, clinical history and intraoperative findings were available between meetings. No transformation by laparotomy took place. With respect to the duration of a medical procedure, we found no evidence-based distinction between the BMI groups regarding generous infections, while pelvic lymphadenectomy in large patients with malignant endometrial growth had a significantly longer evidence-based duration than in the control group (122 6 47 min vs 65 7 25 min, p, .002). The rate of postoperative confusion was 0.02%: 4 cases of blood binding also, 1 case of hem peritoneum among myomectomies; 1 ureteral fistula during a medical procedure for pelvic endometriosis; and 1 case of postoperative lymphocele during collection of endometrial malignancies. No critical evidence-based distinctions were found in terms of medical clinic among the BMI groups in any of the disease classes. For each class, we conducted a survey to distinguish any conceivable risk other than BMI from the meticulous results. Conclusion: Laparoscopic approach in the different utilizations of gynecologic medical procedure doesn't have all the earmarks of being essentially impacted by BMI regarding careful results, laparotomy change rate, intraoperative and postoperative inconveniences rate, and term of emergency clinic remain. The specialized challenges can be illuminated if gifted specialists and anesthetists are accessible. Keywords: Laparoscopic Gynecological Surgery, Obese, Overweight People, Normal Weight Women, Underweight Women.