Vaginal versus abdominal tubal ligation. Study at Victoria General Hospital.

Abstract:

:Comparisons of two methods of sterilization on 250 patients at Victoria General Hospital, Nova Scotia, Canada between January 1968 and December 1970. There were 85 vaginal procedures and 165 abdominal procedures; 50 cases were lost to follow-up. Average age of the women was 35 years, average parity was 3.5 children. Average hospital stay was 4.0 days with the vaginal approach and 6.5 days with the abdominal approach. Hydrosalpinx was discovered in 3 women who had vaginal ligations, and in 2 who had abdominal ligations. Menstrual changes were reported by 15 women; 8 had vaginal ligation, 7 abdominal ligation. Dysmenorrhea was experienced by 5 women; 3 undergoing vaginal ligation and 2 abdominal ligation. Morbidity rate with abdominal ligation was 3.2% and 8.3% with vaginal ligation. Operative failure was 1.17% with the vaginal approach. Menstrual irregularities, dysmenorrhea, dyspareunia, and hydrosalpinx seemed more frequent in the vaginal ligations. Cost-wise the vaginal approach has the advantage but should be carried out on selected patients using a skilled staff.

journal_name

Am J Obstet Gynecol

authors

Akhter MS

doi

10.1016/0002-9378(73)90397-9

subject

Has Abstract

pub_date

1973-02-15 00:00:00

pages

491-6

issue

4

eissn

0002-9378

issn

1097-6868

pii

0002-9378(73)90397-9

journal_volume

115

pub_type

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