Comparison of short and long term complications of three methods of laparoscopic tubal ligation

Background and Objective: The aim of this study was to compare short and long term complications of three modalities of laparoscopic tubal ligation by bipolar electrocoagulation, double ring and filishi clip. Methods: This analytical study as a prospective trial was performed on gynecologic center o...

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Autor principal:	H Samiei
Formato:	article
Lenguaje:	EN FA
Publicado:	Babol University of Medical Sciences 2004
Materias:	laparoscopy tubal ligation flishi clip silastic ring bipolar electrocoagulation Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/f7b08c3c06404fc69fd963bc34b55cb1
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spelling	oai:doaj.org-article:f7b08c3c06404fc69fd963bc34b55cb12021-11-10T09:16:04ZComparison of short and long term complications of three methods of laparoscopic tubal ligation1561-41072251-7170https://doaj.org/article/f7b08c3c06404fc69fd963bc34b55cb12004-04-01T00:00:00Zhttp://jbums.org/article-1-2712-en.htmlhttps://doaj.org/toc/1561-4107https://doaj.org/toc/2251-7170Background and Objective: The aim of this study was to compare short and long term complications of three modalities of laparoscopic tubal ligation by bipolar electrocoagulation, double ring and filishi clip. Methods: This analytical study as a prospective trial was performed on gynecologic center of Babol university of medical sciences between 1996-2002. In this study, 334 patients (187 by bipolar electrocoagulation, 50 by applying filishi clip and 97 by applying sialastic double ring) were operated by general anesthesia after including in the criteria: Medical health, voluntarily request, without age limit and in the first half of cycle. After evaluation of their early and late complications, data was analyzed by t-test and chi-square test. Findings: Early complications including mesosalpinx tearing and hematoma formation were happened in 4 cases of ring (4.2%) and one case of electrocoagulation (0.5%). Technical performance, post operation chest pain and hospital stay were equal among three modalities. Pelvic pain has been observed in 19.4% ring group, 7% electrocoagulation group and 6% filishi clip group following surgery. Complete recovery was obtained in 24 hrs for electrocoagulation and filishi group were 47.6% and 58%, respectively and 9% for ring method but within 48 hrs, it was obtained 53.6% for ring group, 9.6% for electrocoagulation group and 10% for filishi clip. Late complications, which were assessed after 2 years of operations, have been equal in three modalities. Only one case of pregnancy (Ring method) has been detected among the whole cases. Mean (±SD) operation times were 8.4 (±2.5) min, 11.8 (±1.6) min and 11.9 (±1.5) min for electrocoagulation, ring and filishi clip, respectively. Conclusion: Ring method of laparoscopic tubal ligation has more early and late complications relative to electrocoagulation and filishi methods, and using single puncture bipolar electrocoagulation can be the fastest procedure among the above three modalities.H SamieiBabol University of Medical Sciencesarticlelaparoscopytubal ligationflishi clipsilastic ringbipolar electrocoagulationMedicineRMedicine (General)R5-920ENFAMajallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul, Vol 6, Iss 2, Pp 39-45 (2004)
institution	DOAJ
collection	DOAJ
language	EN FA
topic	laparoscopy tubal ligation flishi clip silastic ring bipolar electrocoagulation Medicine R Medicine (General) R5-920
spellingShingle	laparoscopy tubal ligation flishi clip silastic ring bipolar electrocoagulation Medicine R Medicine (General) R5-920 H Samiei Comparison of short and long term complications of three methods of laparoscopic tubal ligation
description	Background and Objective: The aim of this study was to compare short and long term complications of three modalities of laparoscopic tubal ligation by bipolar electrocoagulation, double ring and filishi clip. Methods: This analytical study as a prospective trial was performed on gynecologic center of Babol university of medical sciences between 1996-2002. In this study, 334 patients (187 by bipolar electrocoagulation, 50 by applying filishi clip and 97 by applying sialastic double ring) were operated by general anesthesia after including in the criteria: Medical health, voluntarily request, without age limit and in the first half of cycle. After evaluation of their early and late complications, data was analyzed by t-test and chi-square test. Findings: Early complications including mesosalpinx tearing and hematoma formation were happened in 4 cases of ring (4.2%) and one case of electrocoagulation (0.5%). Technical performance, post operation chest pain and hospital stay were equal among three modalities. Pelvic pain has been observed in 19.4% ring group, 7% electrocoagulation group and 6% filishi clip group following surgery. Complete recovery was obtained in 24 hrs for electrocoagulation and filishi group were 47.6% and 58%, respectively and 9% for ring method but within 48 hrs, it was obtained 53.6% for ring group, 9.6% for electrocoagulation group and 10% for filishi clip. Late complications, which were assessed after 2 years of operations, have been equal in three modalities. Only one case of pregnancy (Ring method) has been detected among the whole cases. Mean (±SD) operation times were 8.4 (±2.5) min, 11.8 (±1.6) min and 11.9 (±1.5) min for electrocoagulation, ring and filishi clip, respectively. Conclusion: Ring method of laparoscopic tubal ligation has more early and late complications relative to electrocoagulation and filishi methods, and using single puncture bipolar electrocoagulation can be the fastest procedure among the above three modalities.
format	article
author	H Samiei
author_facet	H Samiei
author_sort	H Samiei
title	Comparison of short and long term complications of three methods of laparoscopic tubal ligation
title_short	Comparison of short and long term complications of three methods of laparoscopic tubal ligation
title_full	Comparison of short and long term complications of three methods of laparoscopic tubal ligation
title_fullStr	Comparison of short and long term complications of three methods of laparoscopic tubal ligation
title_full_unstemmed	Comparison of short and long term complications of three methods of laparoscopic tubal ligation
title_sort	comparison of short and long term complications of three methods of laparoscopic tubal ligation
publisher	Babol University of Medical Sciences
publishDate	2004
url	https://doaj.org/article/f7b08c3c06404fc69fd963bc34b55cb1
work_keys_str_mv	AT hsamiei comparisonofshortandlongtermcomplicationsofthreemethodsoflaparoscopictuballigation
_version_	1718440247752130560

Comparison of short and long term complications of three methods of laparoscopic tubal ligation

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