Asalkar M.R.,MIMER Medical College Talegaon |
Gaikwad P.R.,MIMER Medical College |
Makhar A.S.,Sanjay Gandhi Hospital
Journal of Obstetrics and Gynecology of India | Year: 2010
Objectives: To evaluate the technique of open band ligation for tubal sterilization with respect to age, parity, technical difficulty, operative time, intra/post operative complications, postoperative comfort and its suitability for mass sterilization during camp. Methods: A prospective study of tubal ligation done at a major teaching medical college and hospital from December 2007 to October 2008. Total of 68 cases operated under spinal anesthesia by minilaparotomy and tube was ligated by open band ligation technique. Operations were performed during puerperal, interval and postabortal cases. Data were analyzed with respect to age, parity, technical difficulty, operative time, intra/post operative complications and postoperative comfort. Results: Most of the patients (87%) were in the age group of 20-30 and 35% were below 25 years indicating long post-tubectomy period and 50% were second para. Tubal transection was seen in three patients. Febrile morbidity was seen in three patients. Most of the patients were comfortable in postoperative period within 24 hours. One patient had wound gape which required cleaning and dressing of wound and later secondary suturing. Failure of this technique has not yet been reported in this group of patients. Conclusion: Technique of tubal ligation with open band application was found to be easy to perform and with minimal risk and devoid of complications such as slippage of ligature, stump hemorrhage and suitable for mass sterilization in camps and also easy for teaching junior doctors or medical officers. Its also requires further study and follow up to comment on the failure rates.