Recent Advances in Minimally Invasive General Surgery A Retrospective Study

Article Information

Title: Recent Advances in Minimally Invasive General Surgery A Retrospective Study

Authors: Muhammad Shah, Muhammad Iftikhar, Jamshed Alam, Rashid Aslam, Shimee Shahzadi

Journal: Journal of Gandhara Medical and Dental Sciences (JGMDS)

HEC Recognition History

Category	From	To
Y	2024-10-01	2025-12-31
Y	2023-07-01	2024-09-30
Y	2022-07-01	2023-06-30
Y	2020-07-01	2021-06-30

Publisher: Gandhara University, Peshawar

Country: Pakistan

Year: 2023

Volume: 10

Issue: 3

Language: English

DOI: 10.37762/jgmds.10-3.490

Keywords: outcomesMinimally Invasive General SurgeryMIGSHMC Hospital Peshawar

Abstract

OBJECTIVESTo evaluate the outcomes of minimally invasive general surgery (MIGS) and determine the indications for MIGS and its success rate.
METHODS
This retrospective study was conducted at the surgery unit of Hayatabad Medical Complex (HMC) Hospital, Peshawar, from January 2021 to December 2022. All the 200 patients who underwent MIGS were included in the study. Data regarding demographic characteristics, clinical presentation, type of MIGS, and intraoperative and postoperative complications were collected from the medical records and analyzed. The outcome of the study was assessed based on the success rate of the MIGS procedure and the occurrence of any postoperative complications.
RESULTS
The mean age of the patients was 43.3 years (range 10–75 years). The most common indication for MIGS was cholecystectomy (33.5%). Other indications included appendectomy (17.5%), hernia repair (12%), small bowel resection (10%), and gastrectomy (7%). The overall success rate of MIGS was 97.5%. The most common postoperative complication was wound infection (6.5%). There were no deaths due to MIGS.
CONCLUSION
The study findings suggest that MIGS is a safe and effective procedure for managing various surgical diseases and can be performed with minimal morbidity and mortality. Further randomized controlled trials are needed to confirm the safety and efficacy of MIGS in different settings.

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Research Objective

To evaluate the outcomes of minimally invasive general surgery (MIGS) and determine the indications for MIGS and its success rate.

Methodology

This retrospective study was conducted at the surgery unit of Hayatabad Medical Complex (HMC) Hospital, Peshawar, from January 2021 to December 2022. Data from 200 patients who underwent MIGS were collected from medical records, including demographic characteristics, clinical presentation, type of MIGS, and intraoperative and postoperative complications. The outcome was assessed based on the success rate and occurrence of postoperative complications. Data analysis was performed using SPSS 23.0 with descriptive statistical methods.

Methodology Flowchart

                        graph TD
    A["Study Period: Jan 2021 - Dec 2022"] --> B["Patient Selection: 200 MIGS patients"];
    B --> C["Data Collection from Medical Records"];
    C --> D["Demographics, Clinical Presentation, MIGS Type, Complications"];
    D --> E["Data Analysis using SPSS 23.0"];
    E --> F["Outcome Assessment: Success Rate & Complications"];
    F --> G["Conclusion on MIGS Safety and Efficacy"];

Discussion

The study findings suggest that MIGS is a safe and effective procedure for managing various surgical diseases with minimal morbidity and mortality. The results align with existing literature highlighting benefits such as reduced postoperative pain, shorter hospital stays, and faster recovery compared to traditional open surgery. However, MIGS may not be suitable for all surgical situations.

Key Findings

The overall success rate of MIGS was 97.5%. The most common indication for MIGS was cholecystectomy (33.5%), followed by appendectomy (17.5%) and hernia repair (12%). The most common postoperative complication was wound infection (6.5%). There were no deaths due to MIGS.

Conclusion

Minimally invasive general surgery (MIGS) is a safe and effective procedure for various surgical diseases, characterized by a high success rate and low incidence of complications. Further research, including prospective randomized controlled trials, is needed to strengthen the evidence base and establish optimal indications and long-term outcomes.

Fact Check

1. Study Period: The study was conducted from January 2021 to December 2022. (Confirmed)
2. Number of Patients: 200 patients underwent MIGS and were included in the study. (Confirmed)
3. Success Rate: The overall success rate of MIGS was 97.5%. (Confirmed)

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