Laparoscopic Tubal Ligation in Women with Previous Pelvic or Abdominal Surgery

Primary tabs

Acta Medica International,2016,3,1,75-77.
Published:January 2016
Type:Original Article

Laparoscopic Tubal Ligation in Women with Previous Pelvic or Abdominal Surgery

Nupur Gupta1, Dr Jai Bhagwan Sharma2

1Consultant Gynaecologist & Endoscopic Surgeon, Well Woman Clinic, C 815, Nirvana Courtyard, Sector 50, Gurgaon,

2Professor, Department of Obstetrics & Gynaecology, All India Institute of Medical Sciences, New Delhi, India

Abstract:

Objectives: Laparoscopic tubal ligation (LTL) is a surgical procedure done on women as a permanent method of contraception and the most prevalent form of contraception worldwide. Study design: We have prospectively collected and evaluated data for 50 women with previous pelvic or abdominal surgery who underwent LTL in the family planning clinic at our tertiary care referral hospital from October 2007 to July 2009. Results: The mean age of patients was 29 years and mean parity 3.2. The most common previous pelvic or abdominal surgeries were caesarean sections followed by open appendicectomy. Omental adhesions up to abdominal wall and in the pelvis were seen in 10 (20%) patients; adhesions to the bladder were observed in 4 (8%) and perihepatic adhesions in 3 (6%) patients; flimsy peritubal and periovarian adhesions were detected in 16 (32%) patients. Conclusion: In women with previous pelvic or abdominal surgery, keeping in mind the risk of postsurgical adhesions, LTL can be performed safely with low morbidity.

Nupur Gupta