Overview of minimal invasive surgery in gynecological practice at at Patan Hospital: a descriptive study

Abstract

Introduction: Minimal invasive surgery (MIS) is recognized as a gold standard for treating various gynecological disorders. Laparoscopy offers well-documented advantages over trans-abdominal procedures like early recovery and shorter hospital stays. Similarly, Hysteroscopy represents another perspective of MIS, used for diagnostic and therapeutic purposes. With the advancement in technology, many of the hysteroscopic procedures are done as an office procedure enhancing patient satisfaction while facilitating definitive diagnosis. This study evaluates their clinical outcomes and temporal trends.

Method: This retrospective, cross-sectional study analyzed 273 patients who underwent laparoscopy or hysteroscopy at the Patan Hospital from October 16, 2022–October 15, 2025. Data regarding patient demographics, surgical indications, intraoperative variables, and postoperative complications were obtained from Operation Theater records and medical files. Statistical analysis was performed to calculate frequencies and evaluate temporal trends.

Result: The study included 113 laparoscopic and 160 hysteroscopic surgery. Ovarian pathology was the primary indication for laparoscopy 83(73.45%), while AUB dominated hysteroscopic cases 108(67.50%). The adoption of MIS rose significantly from 11% in 2022 to 24% by 2024. Although major organ injuries were rare with 1(0.88%) case each, the conversion rate to open surgery was 7.07%. Most laparoscopic patients, 73(64.60%) were successfully discharged within two days.

Conclusion: MIS practice at-Patan Hospital is successfully evolving, characterized by increasing case volume and a strategic shift toward more complex procedures like laparoscopic hysterectomy. Despite technical challenges and a notable learning curve reflected in conversion rates, MIS provides a safe and effective alternative to conventional open surgery.