World Journal of Laparoscopic Surgery

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VOLUME 15 , ISSUE 2 ( May-August, 2022 ) > List of Articles

Original Article

Is Previous Abdominal or Pelvic Surgery a Risk Factor in Laparoscopic Sterilization? A Retrospective Case Study

Shirish Shivling Dulewad, Varsha Narayana Bhat, Prachi Vasanth Koli

Keywords : Laparoscopic sterilization, Medical termination of pregnancy, Pelvic or abdominal surgeries

Citation Information : Dulewad SS, Bhat VN, Koli PV. Is Previous Abdominal or Pelvic Surgery a Risk Factor in Laparoscopic Sterilization? A Retrospective Case Study. World J Lap Surg 2022; 15 (2):120-122.

DOI: 10.5005/jp-journals-10033-1525

License: CC BY-NC 4.0

Published Online: 16-08-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Abstract

Objective: The present study is to evaluate the risk involved, difficulties encountered, as well as the safeness of laparoscopic sterilization in cases of previous pelvic or abdominal surgery. Design: A retrospective study was carried out between January 2017 and January 2019 at Dr Shankarrao Chavan Government Medical College and Hospital, Nanded, Maharashtra. Setting: Tertiary Care Hospital, Nanded, Maharashtra. Materials and method: Laparoscopic tubal ligation (LTL) was performed using Falope ring in all the cases. Results: Mean age of the study population was 26.67 years, and mean parity being 3. The most common previous pelvic or abdominal surgery was cesarean section 96% followed by open appendicectomy 3%. About 14% of them had pregnancy termination (less than 12 weeks of gestation) with LTL and 86% of them had undergone interval LTL. Omental adhesions up to the anterior abdominal wall and in the pelvis were seen in 19.5% of cases, and adhesiolysis was required in 3.5% of them to complete the procedure. Minimal peritubal adhesions were noted in 3% of them, and ligation was successfully completed in all by adhesiolysis. No major intraoperative or postoperative complications were documented. Conclusion: Laparoscopic sterilization is associated with low morbidity and hence it is safe in women with previous pelvic or abdominal surgery.


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