European Journal of Molecular & Clinical Medicine

Abstract

Background:This study aimed to demonstrate the demographic characteristics for laparoscopic surgeries performed in all units of the Department of general surgery, Dr. D Y Patil Medical College Hospital in last one year. Purpose of study is to know clinical indications of rate of conversion of laparoscopic to open surgeries and compare with established scientific literature. Methods:Present clinical Study is a Retrospective study conducted over a period of 1 year from January 2021 to December 2021. Data analysis is done from OT records to find out the rate of conversion. Inclusion criteria – All patients under went laparoscopic surgery in the Department of General Surgery in a year 2021 with exclusion of urological and gynecological surgeries in Dr. D Y Patil Medical College Hospital and Research center, Pune, Maharashtra. Results:Total number of 270 laparoscopic surgeries were attempted, out of which 12 cases were converted from laparoscopy to open surgery. Total conversion rate in present study is 4.44%. Most of conversions occurred in laparoscopic cholecystectomy 3.73%, laparoscopic appendectomy 1.49 % and laparoscopic hernia repair with 6.66%.Conclusion:Over all conversion rates of laparoscopic procedure into open surgery is low when compared to other international studies. Most common causes of conversion in present study altered anatomy, adhesions and intra operative bleed. Conversion of laparoscopic surgery into open surgery resulted in decreased morbidity, complications and increase in duration of hospital stay.