KNOWLEDGE, ATTITUDE AND PRACTICE ABOUT LAPAROSCOPIC SURGERIES AMONG SURGEONS AT PUBLIC SECTOR TERTIARY CARE HOSPITALS OF PESHAWAR

Background:

Laparoscopic surgery also called “Minimal invasive surgery” or “Keyhole surgery” is a modern revolutionized surgical technique performed in the abdomen or pelvis making small incisions through special instruments with aid of a camera.The process of laparoscopy takes its name from the laparoscope, a slender tool that has a tiny video camera and light on the end which the surgeon insert’s through a small cut into the body and looks at a video monitor to see what’s happening inside the body rather than marking larger opening into the body cavities.

Objective:

• To assess the knowledge, attitude, and extent of practice about laparoscopic surgery at the public sector tertiary care hospitals of Peshawar.

Methodology:

A cross-sectional survey was carried out among 189 practicing surgeons of KTH, LRH and HMC .Convenience sampling was used to formulate study population. A closed ended questionnaire was used for data collection and the results were analyzed and presented using SPSS version 23.On the basis of this information, conclusion was drawn and recommendations were made.

Results:

The study showed that most of the surgeons would prefer Laparoscopic surgery over open surgery. During the study it was found that about 74.6% participants believed that Laparoscopic surgery takes less time than that of open surgery. 88.4% thought that laparoscopic surgery is both a diagnostic tool as well as a surgical procedure. And about 93.1% believed that laparoscopic surgery would replace open surgery in future.

The participants were of the view that laparoscopic training courses should be introduced to their surgical practice. About 97.4% participants believed that laparoscopic surgery training courses should be introduced earlier in their residency period. 76.7% participants had attended laparoscopic course before.

Conclusion:

The efficient implementation of laparoscopic procedures in daily practice is challenged by several factors. on one side the exposure to laparoscopic training programs is limited in most teaching Hospitals and on the other side laparoscopy has long learning curves. Thus a laparoscopic surgeon without proper laparoscopic psychomotor skills and practice will continue to expose their patient to incomplete laparoscopic surgical action as compare to those laparoscopic surgeons who have adequate knowledge and practice in laparoscopic procedures.

Keywords:

Laparoscopic surgery, knowledge, attitude, practice, tertiary care hospitals.