Değişik tip tüp sterilizasyon operasyonlarının genel etkinlik, morbidite ve mortalite açısından değerlendirilmesi

Abstract

Object: The aim of this study is to evaluate laparoscopic tubal sterilization techniques with respect of their activity, morbidity and mortality. Material & Methods: Corlu, 600 beds of Ankara Mevki, Agri, Konya Military Hospitals and Van Yuzuncu Yil University Medical Faculty Research and Training Hospital were chosen for this study to be applied. Patient populations was divided into two different groups. Group I patients were living in Ankara (The Western part of Turkey.) and Group II were living in Van city (The Eastern part of Turkey).Group I were including 137 cases. The average of the patietns ages was 32 ±4.1 SD (26-29)years old, the mean parity was 4.3 ±2.6 SD (2-7) and the average of living children was 3.1 ±0.8 SD (1-5), the average of being married was 15.4 ±6.6 SD (9-22) years.Group II were including 164 cases. The average ages of the patients were 34.7 ±9.3 SD (23-43) years old, parity was 7.6 ±3.4 SD (1-14), and the rate of the living children was 7.8 ±2.9 SD (1-13). The average of being married was 23 ±0.5 SD (11-35) years. In Group I, Pomeroy's tubal sterilization method was carried out a two diferent incisions, mini laparotomy in 82 cases and Pfannestiel incision in 12 section cesarean plus bilateral tubal sterilization and bilateral fimbriectomy were performed by colpotomic incisions in 21 cases. Laparoscopic tubal sterilization was employed with siliastic ring in the same group. In Group II, same techniques were performed as Group I, mini laparotomy 41 cases,and Pfannestiel incision 58 section cesarean plus bilateral tubal sterilization. 6 bilateral fimbriectomy was carried out by mini laparotomy incision. Tubal sterilization was achieved with using bipolar electrocautherization and scissors in 59 cases by laparoscopic access. Results: Morbidity rates were 2.9 % in group I and 6.7 % in group II. Fourtunately there was not occured mortality in both of them. Conclusion: Furthermore, intrauterine or extrauterine pregnancy was not be detected in our study groups with using variable diagnostic techniques in minimum 6 maximum 12 months control periods.