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The evaluation of tubal reanastomosis request in the patients who were administered tubal ligation score - contraception-esc.com

The evaluation of tubal reanastomosis request in the patients who were administered tubal ligation score

The evaluation of tubal reanastomosis request in the patients who were

administered tubal ligation score

S.C. Demir, M.T. Cetin, O. Kadayifci

Department of Obstetrics and Gynecology, Faculty of Medicine, University

of Çukurova, Turkey

Introduction: Tubal ligation is the most widely used method for

contraception among the world. Unfortunately 1 to 10% of these patients later

request the reversal of tubal ligation with various reasons. In order to

decrease the reversal of tubal ligation request there are methods such as tubal

ligation score for the patients.

Aims and methods: We have used the ‘Tubal ligation score’

presented in Paris Congress in 1982 to 389 patients who administered to

Çukurova University, Faculty of Medicine, Obstetrics and Gynecology department,

between January 1990 and December 1999 for tubal sterilization: Laparoscopic

tubal ligation (with Yoon ring) was administered to 368 patients who got 6 or

higher score. Twentyone patients who got less than 6 in score were reevaluated

and another family planning method was administered to them. In the same time

interval 417 patients, who underwent caesarean section and at the same operation

bilateral Pomeroy type tubal ligation (Tubal ligation score was not found) were

accepted as the control group.

Results: None of the 368 patients, in whom tubal ligation score was

found and laparoscopically tubal ligation was administered, returned to our

clinic for tubal reanastomosis. In the control group, 15 out of the 417 patients

(3.6 %) returned to our clinic for tubal reanastomosis, (p<0.05).

Conclusion: Administration of tubal ligation score will decrease the

ratio of patients who equest the reversal of tubal ligation.

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