Trends of Various Techniques of Tubectomy: A Five Year Study in a Tertiary Institute

Mahadevappa, Kavita; Prasanna, Naveen; Channabasappa, Ramalingappa Antartani

doi:10.7860/jcdr/2016/16863.7104

Cited by 8 publications

(13 citation statements)

References 14 publications

(9 reference statements)

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“…patients ( 80.3% ) underwent sterilization between 20-29 years which is similar to the study by Mahadevappa et al who reported 77.93% were in the age group of 20-29years. 9 The incidence of wound infection in our study was 8.71% whereas it was 5.5% in a study by Swende and Akinbuwa. 11 In our hospital we do only postpartum sterilization by mini laparotomy not by laparoscopic sterilization.…”

Section: Discussioncontrasting

confidence: 69%

Postpartum sterilization: a five years retrospective study

Dhanapal¹,

Sivanandan²,

Sengottian³

et al. 2018

Int J Reprod Contracept Obstet Gynecol

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Background: Female sterilization, which is also called tubal ligation or tubal occlusion, is a surgical procedure which aims at permanent contraception. When female sterilization is performed at the time of birth with caesarean delivery or very soon after vaginal birth, such sterilization is called puerperal or postpartum sterilization. This study is to analyse the puerperal sterilization done in our hospital regarding age, living children, timing of sterilization and complications.Methods: A retrospective analytical study of 6069 cases of puerperal sterilization performed over a period of 5 years from January 2013 to December 2017.Results: During the study period, 6069 cases of puerperal sterilization cases were done. Out of which 4714 (77.67%) patients had undergone caesarean tubectomy, 1355 (22.32%) patients had undergone mini-laparotomy. Maximum number of patients was in the age group of 20-29yrs (80.3%). Majority of patients (68.62%) had two living children. Complications were encountered in 32.38% of patients.Conclusions: The findings in this study showed that the incidence of voluntary surgical contraception is low. Adequate education and counseling will lead to acceptance of the procedure and consequently, a reduction in high maternal mortality from unwanted pregnancies.

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Section: Discussioncontrasting

confidence: 69%

Postpartum sterilization: a five years retrospective study

Dhanapal¹,

Sivanandan²,

Sengottian³

et al. 2018

Int J Reprod Contracept Obstet Gynecol

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“…10 In other studies, reported failed tubectomy in 78% of women in the age group of 20-30 years. [12][13][14] In those studies, the age group was large. Therefore, the median age at tubectomy became difficult to determine.…”

Section: Discussionmentioning

confidence: 99%

Failed tubectomy procedures: a retrospective study

Jadhav

Gomare

Chandanshive

2021

Int J Reprod Contracept Obstet Gynecol

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Background: It is difficult to understand the nature of factors leading to failure of sterilization from single institute. Knowing the factors, we can take preventive measures. Those data were of women who filed claims under Family Planning Indemnity Scheme, 2013 (revised 2016). The scheme was not reached at grassroots; therefore, not enough women got the benefit of this scheme. We gave the list of documents as well, which help medical fraternity working in rural area.Methods: Retrospective study of 32 women of failed tubal ligation over a period of four years (from 2016 to 2019). The variables under consideration of study were, parity and age at the time of tubectomy. Time and method of tubectomy. Interval between tubectomy and subsequent pregnancy. Outcome of subsequent pregnancy and further contraceptive acceptance. Descriptive statistics used for frequency analysis.Results: Median age of women was 26 years during tubal sterilization. Seventy two percent women were accepted sterilization on two children. Sixty nine percent of tubal sterilization were performed in puerperium; concurrent with caesarean section and medical termination of pregnancy, while 31% were during interval period. Thirty four percent of women became pregnant within 24 months(2years) of sterilization and cumulative 75% within 60 months (5 years) after sterilization. Sixty nine percent of women had intrauterine pregnancies and 31% ectopic pregnancies. Fifty six percent women accepted medical termination of pregnancy and 53% chosen repeat tubal sterilization. Four women (12%) gave live births. Two of them accepted repeat sterilization and another two intrauterine contraceptive devices. Thirty one percent women had ectopic pregnancy; nine of them came as ruptured ectopic, therefore, exploratory laparotomy with bilateral total salpingectomy were to be performed.Conclusions: Failed tubal sterilization is common when it was performed at younger age and in puerperium. Missed period after sterilization should have high index of suspicion of ectopic pregnancy, which leads to severe maternal morbidity.

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“…It has many advantages over open procedures, most important being early recovery. 1,2 Howeverinadequate pain control and nausea, vomiting in the early postoperative period may deter early ambulation and discharge from the hospital. 2,3 Pain after laparoscopic tubal ligation is multifactorial but mainly due to tubal manipulation and ligation leading to increased release of prostaglandins.This pain istherefore amenable to prostaglandin synthetase inhibitors such asnonsteroidal anti-inflammatory drugs (NSAIDs).Diclofenac sodium is most commonly used NSAID which specifically inhibits prostaglandin release.…”

Section: Introductionmentioning

confidence: 99%