Document Detail

Tubal ligation via colpotomy or laparoscopy: a retrospective comparative study.
MedLine Citation:
PMID:  20339859     Owner:  NLM     Status:  In-Data-Review    
OBJECTIVE: To compare transvaginal with laparoscopic tubal sterilization with respect to invasiveness and outcomes.
METHOD: The outcomes of 103 patients who received interval tubal sterilization were compared. Group A (n = 38) underwent the transvaginal approach, group B (n = 38) a laparoscopic approach, and group C (n = 27) underwent mini-laparotomy due to difficulties encountered in one of the other procedures.
RESULTS: There were no significant differences in patient age between the groups. There was no significant difference in operative time or blood loss between groups A and B. Operative time was significantly longer in group C (120 ± 35 min) than group A (40 ± 5 min) or group B (45 ± 9 min) (p < 0.05). Blood loss was significantly greater in group C (120 ± 30 ml) than in group A (10 ± 2 ml) or group B (10 ± 1 ml) (p < 0.05). The cost of transvaginal tubal sterilization was the lowest, and that of mini-laparotomy was the highest. There was no contraception failure in any group.
CONCLUSIONS: Transvaginal tubal sterilization is technically more difficult, but when correctly performed it is not associated with an increased complication rate, and is less costly than laparoscopic sterilization.
Wei-Hsi Chang; Jah-Yao Liu; Yu-Chi Yeh; Gwo-Jang Wu; Yung-Jong Chiang; Mu-Hsien Yu; Chi-Huang Chen
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Publication Detail:
Type:  Journal Article     Date:  2010-03-26
Journal Detail:
Title:  Archives of gynecology and obstetrics     Volume:  283     ISSN:  1432-0711     ISO Abbreviation:  Arch. Gynecol. Obstet.     Publication Date:  2011 Apr 
Date Detail:
Created Date:  2011-03-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8710213     Medline TA:  Arch Gynecol Obstet     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  805-8     Citation Subset:  IM    
Department of Obstetrics and Gynecology, Tri-Service General Hospital, National Defense Medical Centre, 325, Section 2, Cheng-Kung Road, Nei-Hu, Taipei, 114, Taiwan, ROC.
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