Trade-off between non-closure and closure of parietal peritoneum in tubal ligation cases at rural medical college in central Maharashtra
Journal Title: MedPulse -International Medical Journal - Year 2015, Vol 2, Issue 5
Abstract
Tubal ligation (TL) is a surgical procedure for sterilization in which a woman's fallopian tubes are clamped and ligated which prevents eggs from reaching the uterus for implantation. The commonly occurring complications of tubal ligation include pain, inflammation, wound infection etc. Traditionally, suturing of the visceral and parietal peritoneum at TL has been widely accepted. The present study was carried out to assess the short term outcomes of peritoneal non-closure in Indian Institute of Medical Science, Warudi, Tq. Badnapur, Dist. Jalna (M.S.). The study was conducted over a period of 1 year and 4 months with sample size of 100 tubal ligation cases. Out of which 50 underwent peritoneal suturing and 50 were left unsutured. Age, parity, religion, education, duration of surgery, recovery time, time of closure, wound status, pain score etc. were noted. Pain was significantly less in cases where the visceral and the parietal peritoneum were left unsutured, however it was not statistically significant. In conclusion the routine non-closure of the peritoneum reduces operative time by an average of 6 min. Thus pain, postoperative morbidity and time required for operation was less with no-closure of peritoneum. Thus non-closure of peritoneum in TL produces significant reduction in pain, fever, analgesic requirements and shorter operative time without increasing febrile morbidity as compared to standard methods. However more studies are needed to examine the long-term morbidity associated with the closure or the non-closure of the peritoneum.
Authors and Affiliations
R G Narwade, P L Bhanap
Keywords
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