title: Total laparoscopic hysterectomy: A case report from ILE-IFE, Nigeria.
abstract: Total laparoscopic hysterectomy (TLH) is an advanced gynecological laparoscopic procedure that is widely performed in the developed world. However, its feasibility in resource-poor settings is hampered by obvious lack of equipments and/or skilled personnel. Indeed, TLH has never been reported from any Nigerian hospital. We present a 50-year-old multipara scheduled for hysterectomy on account of pre-malignant disease of the cervix, who had TLH with bilateral salpingo-oophorectomy in the Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, southwestern Nigeria and was discharged home on the first post-operative day. She was seen in the gynecology clinic a week later in stable condition and she was highly pleased with the outcome of her surgery. This case is presented to highlight the attainability of operative gynecological laparoscopy, including advanced procedures like TLH in a resource-constrained setting, through the employment of adequate local adaptation and clever improvisation.
authors: Department of Obstetrics, Gynecology and Perinatology, Obafemi Awolowo University, Teaching Hospitals Complex, Ile-Ife, Nigeria.
authors: Olusegun O
authors: OO
authors: Badejoko
authors: Kayode O
authors: KO
authors: Ajenifuja
authors: Babawale O
authors: BO
authors: Oluborode
authors: Adebanjo B
authors: AB
authors: Adeyemi
keywords: Laparoscopy; Nigeria; endoscopy; hysterectomy
references: Niger J Med. 2009 Jan-Mar;18(1):107-9
references: 19485161
references: Acta Obstet Gynecol Scand. 2012 Nov;91(11):1339-41
references: 22924755
references: Int J Gynaecol Obstet. 2010 Oct;111(1):57-61
references: 20557885
references: Niger J Clin Pract. 2008 Dec;11(4):394-5
references: 19320421
references: J Obstet Gynaecol Res. 2012 Sep;38(9):1194-200
references: 22540927
references: Gynecol Oncol. 2011 May 1;121(2):339-43
references: 21292313
references: J Gynecol Oncol. 2011 Dec;22(4):253-9
references: 22247802
references: Gynecol Surg. 2009 Nov;6(4):311-316
references: 20234845
references: J Gynecol Endosc Surg. 2009 Jan;1(1):34-9
references: 22442509