Majallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul (Apr 2000)
A comparative survey of ligation of uterine tubes by laparoscopy Filshie Clips and Modified Minilaparotomy Pomeroy technique
Abstract
Objective: To compare two methods of sterilization, 196 women who intended to undergo tubal sterilization, were randomly assigned to sterilization either by Filshie clips laparoscopy (96 cases) or modified Pomeroy minilaparotomy technique (100 cases). Methods: We compared the time of operation, surgical complication, post operative pain and wound infection and after a long term follow up of (1-4 years) compared the changes in menstrual indices, pelvic pain and method failure. Findings: With the exception of severe and moderate postoperative pain, no statistically significant difference could be identified after evaluation of other complications (P<0.05). The failure rate was 1.72% for clips laparoscopy group but no pregnancy was found in pomeroy minilaparotomy group. Minilaparotomy however, needs less equipment and training. Regarding safety and effectiveness of the method and fewer post-surgical complications. However, the differences found in this study are not so significant. If can individual physician prefers this surgical approach, then the results will be favorable. Conclusion: This method seems to be considerably advantageous.
