Endoscopic Techniques and Minilaparotomy for Tubal Sterilization

Abstract

Background: In recent times expert surgeons and medical technology companies advertise and promote laparoscopic surgeries as modern and safe alternatives to laparotomy. Objective: In this study our main goal is to evaluate the efficacy between Mini-Laparotomic and Laparoscopic Surgery for Tubal Ligation. Method: This retrospective study was conducted at Mohammadpur fertility services & Training center between January 2018 and January 2019. Informed consent was obtained from all patients. In total of 41 women, 18 in the laparoscopy and 23in the mini laparotomic surgery group participated in the study. Results: During the study, where in both minilaparotomy and Laparoscopic group majority were belonging to >35-40 years age group, 52.17% and 50%. In addition, majority were belonged to multiparas (P>2) in both groups. However, in Minilaparatomy group majority cases duration of operation was >20-25min whereas laparoscopic group need less time, 15-20 min most, 55.55%. Moreover, longer hospital staying period notice in minilaparotomy cases, 21.74% where as in laparoscopic cases it was 11.11%. Besides that, secondary infection only seen in minilaparotomy group, 4.34%. Conclusion: Apart from some technical disadvantages, according to our results laparoscopic surgery seems a safe and feasible alternative to mini laparotomy for surgical tubal sterilization.