A COMPARATIVE ANALYSIS OF LAPAROSCOPY V/S LAPAROTOMY FOR TUBAL RECANALISATION
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 12
Abstract
BACKGROUND Tubal sterilisation is a contraception method widely used throughout the world. The most important reason for the selection of this method is that it is permanent. However, several studies have shown that for various reasons, 1% - 3% of couples make the decision for recanalisation. However, the pregnancy rate after surgery is determined by multiple other factors. MATERIALS AND METHODS This retrospective study included 20 patients who underwent tubal recanalisation surgery in our clinic from January 2012 to July 2017. The patients were separated into 2 groups as Group 1 who underwent laparoscopic recanalisation and Group 2 who underwent laparotomy. A record was made for each patient of the age at sterilisation, the age at recanalisation, previous pelvic surgery, additional diseases (diabetes mellitus [DM], hypertension, thyroid disease, etc.), results of hysterosalpingography (HSG), the sterilisation method applied and the recanalisation method. According to the fertility outcomes after recanalisation, the patients were evaluated in 4 categories as 1= unsuccessful result, 2= abortus, 3= ectopic pregnancy and 4= live birth. RESULTS Of the 20 patients evaluated, no statistically significant difference was determined between the patient’s characteristics in both groups. At the end of the 2-year follow-up of the patients who underwent laparoscopic recanalisation no pregnancy had been achieved in 4 (40%), abortus in 1 (10%), ectopic pregnancy in 1 (10%) and a live birth in 4 (40%) cases. In the laparotomic group the 2-year follow-up outcomes were no pregnancy in 4 (40%), abortus in 2 (20%), ectopic pregnancy in 1 (10%) and live birth in 3 (30%) cases. In our study patients of age ≤ 35 years, 80% (4/5) had a live birth in laparoscopy group and 60% (3/5) had live birth in laparotomy group. While patients > 35 years laparoscopy group one (10%) patients conceived, but landed with ectopic pregnancy and in laparotomy group one (10%) patient conceived and landed with abortion. CONCLUSION Tubal recanalisation gives hope to patients to conceive again after sterilisation. However, the success rate is determined by multiple factors. There is no concrete evidence available to support one form of surgery over other. However, laparoscopy has an advantage of being minimally invasive surgery with lesser complications. Hence, laparoscopy is to be preferred over laparotomy
Authors and Affiliations
Kalpana B, Richa Gupta
Keywords
Related Articles
- EP ID EP412048
- DOI 10.14260/jemds/2018/349
- Views 75
- Downloads 0
MEDIATING EFFECTS OF SELF-EFFICACY ON FRUIT AND VEGETABLE CONSUMPTION AMONG NURSING AND MIDWIFERY STAFF IN ARDABIL- APPLICATION OF TRANSTHEORETICAL MODEL
BACKGROUND It is highly recommended to promptly assess motivation and readiness to change in individuals who wish to achieve significant lifestyle behaviour changes in order to improve their health. In particular, motiva...
A DESCRIPTIVE STUDY OF INGUINAL HERNIOPLASTY IN A TERTIARY CARE CENTRE
BACKGROUND Hernia may be defined as a protrusion of abdominal viscera outside the abdominal cavity through a natural or acquired defect. Inguinal hernias present with a lump in the groin that goes away with minimal press...
GASTROPROTECTIVE EFFECT OF CURCUMA LONGA LINN. AGAINST ETHANOL INDUCED GASTRIC ULCER IN RATS
BACKGROUND Peptic ulcer is a global health problem, both in terms of morbidity and mortality. There are many treatment strategies for tackling this disease including proton pump inhibitors, H2 receptor antagonists, ulcer...
A STUDY OF BACTERIOLOGICAL PROFILE AND ANTIBIOTIC SUSCEPTIBILITY PATTERNS AMONG CULTURE POSITIVE URINARY TRACT INFECTION IN FEBRILE CHILDREN
BACKGROUND Children of any age with febrile Urinary tract infection (UTI) can have acute pyelonephritis and subsequent renal scarring. UTI should be treated promptly to prevent possible progression to pyelonephritis. UTI...
VULVAR MYIASIS- A CASE REPORT
CASE PRESENTATION A 19-year-old young married woman presented on day 6 of postnatal period with chief complaints of pain at the episiotomy site since 1 day. The pain was severe, continuous in nature and associated with c...