Laparoscopic Surgery for Benign Gynecological Conditions: Perioperative Characteristics and Short-term Outcomes at a Private Hospital in Bangladesh: A Prospective Cross-sectional Study

ORIGINAL ARTICLE
Isameldin Medani

 
For citation: Medani I. Laparoscopic Surgery for Benign Gynecological Conditions: Perioperative Characteristics and Short-term Outcomes at a Private Hospital in Bangladesh: A Prospective Cross-sectional Study. International Journal of Biomedicine. 2026;16(2):178-186. doi:10.21103/Article16(2)_OA4
 
Originally published June 5, 2026

Abstract: 

Background: Laparoscopic surgery is widely recommended for benign gynecological conditions because it minimizes surgical trauma and accelerates postoperative recovery. Prospective evidence from low- and middle-income settings, particularly detailing operative determinants and short-term outcomes, remains limited. Our objective is to describe perioperative characteristics, identify predictors of operative complexity, and evaluate short-term outcomes among women undergoing laparoscopic surgery for benign gynecological conditions at a tertiary hospital in Bangladesh.
Methods and Results: A prospective observational study was conducted at Feni PVT Hospital and Laparoscopy Institute in Bangladesh from July to September 2025. Consecutive women aged 18–70 years undergoing elective laparoscopic surgery (hysterectomy, myomectomy, ovarian cystectomy, or diagnostic laparoscopy) for benign indications were included. Demographic, clinical, intraoperative, and postoperative data were collected prospectively. Descriptive statistics summarized outcomes. Multiple linear regression identified predictors of operative time, and binary logistic regression assessed factors associated with intra-abdominal adhesions.
A total of 181 women were included, with a mean age of 42.2±9.0 years and a mean parity of 2.5±0.6. Abnormal uterine bleeding was the most frequent indication (67.4%). Mean operative time was 47.9±4.8 minutes, and estimated blood loss was <50mL in 99.4% of cases. No intraoperative complications, conversions, or transfusions occurred. All participants were discharged after one day, and 97.2% were mobilized on the day of surgery. Intra-abdominal adhesions were identified in 37.0% of cases. Increased operative time was independently associated with higher parity, comorbidities, previous surgery, abnormal uterine bleeding, and adenomyosis, while age showed a modest inverse association. Adhesions were strongly associated with prior surgery, increasing age, and uterine fibroids.
Conclusion: In this experienced center, laparoscopic surgery for benign gynecological conditions was associated with a consistent safety profile, minimal blood loss, and rapid recovery. Patient- and pathology-related factors influence operative complexity but do not compromise short-term outcomes.

Keywords: 
adhesions • benign gynecological conditions • laparoscopic surgery • operative time • peri-operative outcomes
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Received January 19, 2026.
Accepted March 7, 2026.
© 2026 The Author(s). International Journal of Biomedicine is published by IMRDC. This is an open access article under the CC BY-NC-ND 4.0 license.