European Journal of Molecular & Clinical Medicine

Abstract

To study the intraoperative and immediate complications of Laparoscopy and Mini- laparotomy techniques in interval tubal sterilization.
Methods: A prospective comparative study with a 600-person sample size was conducted from January 2018 to June 2019 at the Department of Obstetrics and Gynecology, Andhra Medical College, Department in Visakhapatnam. Women who are having interval mini-laparotomies and interval laparoscopic tubal sterilizations in a hospital.
Results: In this study, out of 600 patients who underwent tubal sterilization, the majority of them were in the age group 20-25years. In both the groups in this study, parity of 2 or more were common i.e., 49.5% (Para 2) in laparoscopic group and 48 % (Para 3) in minilaparotomy group. HBsAg positivity was the most common co-morbidity, with 41 patients in mini- laparotomy group. Total of 25 (6.75%) patients had undergone surgery in the past in the laparoscopic study group. Adhesions (3.25%) were the most frequent incidental pelvic pathology found during laparoscopy. Fibroid was seen in1.75% cases of laparoscopic group. Mean duration of surgery was significantly less in the laparoscopic group as compared to the mini-laparotomy group, with 10.92+14.20 min, 19.62+8.90 min. respectively. Mesosalpinx bleed (3.0%) was the most common intraoperative complication in both laparoscopy and mini-laparotomy group. Among patients undergoing laparoscopic tubal sterilization the proportion of intra operative conversion to a laparotomy to complete the operation was 6 out of 300 patients included in the study (5%). Post-operative complications such as Fever (57.50%), Wound discharge (13%) and abdominal pain (28.50%) were more commonly seen in the mini-laparotomy group than the laparoscopy group.
Conclusion: Finally concluded that, overall complications (i.e. when combined intraoperative and immediate post-operative complications) were more common in Minilaparotomy group when compared to laparoscopy group.