Analysis Of The Impact Of Gills (gas Insufflation-less Laparoscopic Surgery) In The Selected Rural Hospitals In India.

Background The Lancet Commission on Global Surgery's report, "Global Surgery 2030: Evidence and solutions for achieving health, welfare, and economic development," sets ambitious goals for enhancing global surgical care by 2030. The report underscores the severe shortage of surgical services in low- and middle-income countries (LMICs) and advocates for substantial investments in surgical and anaesthesia resources. Objectives This study aims to assess the impact of the Gas Insufflation-Less Laparoscopic Surgery (GILLS) technique on surgical volumes and coverage rates in rural and underprivileged areas of India. It evaluates whether GILLS can increase surgical access and improve health outcomes in these regions. Methods A comparative retrospective analysis was conducted on data from 17 rural hospitals implementing GILLS and five control hospitals from February 2022 to August 2023. The study documents the number of operations before and after GILLS implementation, with statistical significance assessed through various analytical methods. Results Hospitals utilizing the GILLS technique experienced a significant increase in surgical volumes, with the median number of surgeries rising from 108.7 to 374.29 per year. Statistical analyses, including the Wilcoxon Signed-Rank Test and linear regression, confirmed the positive impact of GILLS on surgical volumes and coverage rates. Control hospitals showed no significant changes during the same period. Conclusions The GILLS technique significantly enhances surgical access and feasibility in rural and underprivileged areas. The findings support the effectiveness of GILLS in improving surgical care and suggest the need for further scaling up of training programs. Long-term sustainability and broader implementation require continued investigation and resource allocation. Implications This study provides strong evidence for the adoption of gas-less laparoscopic surgery as a viable solution to address the surgical care gap in rural areas. Policymakers and healthcare providers are encouraged to support and expand GILLS training programs to improve health outcomes in underserved populations.