Tubal ligation via colpotomy or laparoscopy: A retrospective comparative study

Wei Hsi Chang, Jah Yao Liu, Yu Chi Yeh, Gwo Jang Wu, Yung Jong Chiang, Mu Hsien Yu, Chi Huang Chen

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Objective: To compare transvaginal with laparoscopic tubal sterilization with respect to invasiveness and outcomes. Method: The outcomes of 103 patients who received interval tubal sterilization were compared. Group A (n = 38) underwent the transvaginal approach, group B (n = 38) a laparoscopic approach, and group C (n = 27) underwent mini-laparotomy due to difficulties encountered in one of the other procedures. Results: There were no significant differences in patient age between the groups. There was no significant difference in operative time or blood loss between groups A and B. Operative time was significantly longer in group C (120 ± 35 min) than group A (40 ± 5 min) or group B (45 ± 9 min) (p <0.05). Blood loss was significantly greater in group C (120 ± 30 ml) than in group A (10 ± 2 ml) or group B (10 ± 1 ml) (p <0.05). The cost of transvaginal tubal sterilization was the lowest, and that of mini-laparotomy was the highest. There was no contraception failure in any group. Conclusions: Transvaginal tubal sterilization is technically more difficult, but when correctly performed it is not associated with an increased complication rate, and is less costly than laparoscopic sterilization.

Original languageEnglish
Pages (from-to)805-808
Number of pages4
JournalArchives of Gynecology and Obstetrics
Volume283
Issue number4
DOIs
Publication statusPublished - Apr 2011
Externally publishedYes

Keywords

  • Colpotomy
  • Laparoscopy
  • Tubal occlusion
  • Tubal sterilization
  • Vaginal tubal ligation

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

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