Trends of Various Techniques of Tubectomy: A Five Year Study in a Tertiary Institute
Introduction: Female sterilization is one of the best and effective methods of contraception for women who have completed their family. Tubectomy during caesarean operation and minilaparotomy are popular methods in developing countries whereas laparoscopic sterilization and hysteroscopic tubal o...
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doaj-2348a83d03f548a5828a392a9d05f0722020-11-25T02:39:55ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2016-01-01101QC04QC0710.7860/JCDR/2016/16863.7104Trends of Various Techniques of Tubectomy: A Five Year Study in a Tertiary InstituteKavita Mahadevappa0Naveen Prasanna1Ramalingappa Antartani Channabasappa2Assistant Professor, Department of Obstetrics and Gynaecology, Karnataka Institute of Medical Science (KIMS), Hubli, Karnataka, India.Assistant Professor, Department of Obstetrics and Gynaecology, Karnataka Institute of Medical Science (KIMS), Hubli, Karnataka, India.Professor and Head, Department of Obstetrics and Gynaecology, Karnataka Institute of Medical Science (KIMS), Hubli, Karnataka, India.Introduction: Female sterilization is one of the best and effective methods of contraception for women who have completed their family. Tubectomy during caesarean operation and minilaparotomy are popular methods in developing countries whereas laparoscopic sterilization and hysteroscopic tubal occlusion are the preferred methods in developed countries. Aim: To know the trends, incidence and immediate complications of methods of female sterilizations performed at our institute. Materials and Methods: This is a retrospective analytical study conducted at our tertiary care centre from January 2010 to December 2014 in Karnataka Institute of Medical Sciences, Hubli, Karnataka. The case files of all the patients who underwent sterilization were taken from the medical records section and reviewed in detail. The cases were grouped as caesarean tubectomy, minilaparotomy and laparoscopic sterilization, based on the abdominal entry. For minilaparotomy and during caesarean tubectomy, modified pomeroy’s technique was used. For laparoscopic sterilization, falope rings were used. Data was analysed by Karl Pearson’s correlation co-efficient method and Chi-Square test. The p-value < 0.05 was considered significant. Results: Out of 5442 cases of female sterilization, 2872 underwent caesarean tubectomy, remaining half underwent minilaparotomy (1306) and laparoscopic sterilization (1264). Sterilizations were significantly more during puerperal period (caesarean tubectomy + post abortal + postpartum) compared to interval period. There was an increasing trend in caesarean tubectomy and laparoscopic sterilization. There were 11 procedure related complications in the laparoscopic sterilization, one in caesarean tubectomy and none in minilaparotomy. Two deaths were reported in minilaparotomy, one in laparoscopic sterilization and four in the caesarean tubectomy, which were due to septicaemia. Conclusion: An increasing trend in caesarean tubectomy and laparoscopic sterilization is seen in this study. Female sterilization should be individualized based on the timing, place and surgeons experience. Sepsis is a major cause of death and asepsis could be compromised when female sterilization is done in large numbers in camps. Hence target related approach towards female sterilization should be avoided. Laparoscopic sterilization has more procedure related complications, which can be better handled in tertiary care centres. https://jcdr.net/articles/PDF/7104/16863_CE(RA1)_F(T)_PF1(BMAK)_PFA(AK)_PF2(PAG).pdfcaesarean tubectomylaparoscopic sterilizationminilaparotomypostpartum |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Kavita Mahadevappa Naveen Prasanna Ramalingappa Antartani Channabasappa |
spellingShingle |
Kavita Mahadevappa Naveen Prasanna Ramalingappa Antartani Channabasappa Trends of Various Techniques of Tubectomy: A Five Year Study in a Tertiary Institute Journal of Clinical and Diagnostic Research caesarean tubectomy laparoscopic sterilization minilaparotomy postpartum |
author_facet |
Kavita Mahadevappa Naveen Prasanna Ramalingappa Antartani Channabasappa |
author_sort |
Kavita Mahadevappa |
title |
Trends of Various Techniques of Tubectomy: A Five Year Study in a Tertiary Institute |
title_short |
Trends of Various Techniques of Tubectomy: A Five Year Study in a Tertiary Institute |
title_full |
Trends of Various Techniques of Tubectomy: A Five Year Study in a Tertiary Institute |
title_fullStr |
Trends of Various Techniques of Tubectomy: A Five Year Study in a Tertiary Institute |
title_full_unstemmed |
Trends of Various Techniques of Tubectomy: A Five Year Study in a Tertiary Institute |
title_sort |
trends of various techniques of tubectomy: a five year study in a tertiary institute |
publisher |
JCDR Research and Publications Private Limited |
series |
Journal of Clinical and Diagnostic Research |
issn |
2249-782X 0973-709X |
publishDate |
2016-01-01 |
description |
Introduction: Female sterilization is one of the best and effective
methods of contraception for women who have completed their
family. Tubectomy during caesarean operation and minilaparotomy
are popular methods in developing countries whereas laparoscopic
sterilization and hysteroscopic tubal occlusion are the preferred
methods in developed countries.
Aim: To know the trends, incidence and immediate complications
of methods of female sterilizations performed at our institute.
Materials and Methods: This is a retrospective analytical
study conducted at our tertiary care centre from January 2010
to December 2014 in Karnataka Institute of Medical Sciences,
Hubli, Karnataka. The case files of all the patients who underwent
sterilization were taken from the medical records section and
reviewed in detail. The cases were grouped as caesarean
tubectomy, minilaparotomy and laparoscopic sterilization,
based on the abdominal entry. For minilaparotomy and during
caesarean tubectomy, modified pomeroy’s technique was used.
For laparoscopic sterilization, falope rings were used. Data was
analysed by Karl Pearson’s correlation co-efficient method and
Chi-Square test. The p-value < 0.05 was considered significant.
Results: Out of 5442 cases of female sterilization, 2872
underwent caesarean tubectomy, remaining half underwent
minilaparotomy (1306) and laparoscopic sterilization (1264).
Sterilizations were significantly more during puerperal period
(caesarean tubectomy + post abortal + postpartum) compared
to interval period. There was an increasing trend in caesarean
tubectomy and laparoscopic sterilization.
There were 11 procedure related complications in the laparoscopic
sterilization, one in caesarean tubectomy and none in minilaparotomy. Two deaths were reported in minilaparotomy, one in
laparoscopic sterilization and four in the caesarean tubectomy,
which were due to septicaemia.
Conclusion: An increasing trend in caesarean tubectomy and
laparoscopic sterilization is seen in this study. Female sterilization
should be individualized based on the timing, place and surgeons
experience. Sepsis is a major cause of death and asepsis could be
compromised when female sterilization is done in large numbers in
camps. Hence target related approach towards female sterilization
should be avoided. Laparoscopic sterilization has more procedure
related complications, which can be better handled in tertiary care
centres. |
topic |
caesarean tubectomy laparoscopic sterilization minilaparotomy postpartum |
url |
https://jcdr.net/articles/PDF/7104/16863_CE(RA1)_F(T)_PF1(BMAK)_PFA(AK)_PF2(PAG).pdf |
work_keys_str_mv |
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