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Laparoscopic Myomectomy in the Sri Lankan Public Health Care System: The Need and Challenges

Laparoscopic Myomectomy in the Sri Lankan Public Health Care System: The Need and Challenges

By Prof. Kumara Dissanayake (D. M. A. Kumara), Professor in Gynaecological Endoscopy, Rajarata University of Sri Lanka — Rajarata Gynaecological Endoscopy Center (RAGEC).

Dissanayake D. “Laparoscopic myomectomy in Sri Lankan public health care system: The need and challenges.” Sri Lanka Journal of Obstetrics and Gynaecology, 2021; 43(3).

Overview

Uterine fibroids are among the most common reasons women seek gynaecological care. Laparoscopic myomectomy — keyhole removal of fibroids that preserves the uterus and fertility — offers less pain, shorter hospital stays and faster recovery than open surgery. This article argues for making the procedure routinely available within Sri Lanka’s state hospitals.

The need

  • Preserves fertility for women who wish to conceive, unlike hysterectomy.
  • Reduces recovery time and complications compared with open (abdominal) myomectomy.
  • Extends the benefits of minimally invasive surgery to public-sector patients who cannot access private care.

The challenges

  • Availability of laparoscopic equipment and consumables in state theatres.
  • Surgeon training and the learning curve for advanced laparoscopic suturing.
  • Theatre time and resource allocation within a stretched public system.

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Read the full paper and more of the author’s work:

Prof. Kumara Dissanayake on Google Scholar →

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