Title: [Comparative study of female surgery contraception access: microlaparoscopy versus minilaparotomy]

POPLINE Document Number: 315039

Author(s):

Modotte WP
Dias R
Frei F
Dias DS
Fernandes FF

Source citation:

Revista Brasileira de Ginecologia e Obstetricia, 2006 Jul;28(7):403-409.

Abstract:

The purpose was to compare in a retrospective way, 51 women who underwent tubal ligation, 30 through microlaparoascopy (Gmicrol) and 21 through minilaparotomy (Gminil). The analyzed parameters were: total time for accomplishment of the procedure and the surgical technique, time of hospital stay and return to the habitual activities after the surgery, postoperative pain, morbidity, satisfaction degree and esthetic effect, considering values of p < 0.05 as significant, and also standard cost. Gmicrol took less time to accomplish the surgery than the Gminil (43 against 57 minutes respectively, p < 0.05), less time to accomplish the surgical technique (6.48 against 30.32 minutes respectively, p < 0.05), and lower hospital stay (9,90 hours as against 41,7 hours respectively, p < 0.05). There was no significant difference between the two groups regarding time to return to the habitual activities after surgery. To evaluate postoperative pain, a scale of 0-10 it was applied. Gmicrol present a lower pain score on the 1st and 2nd postoperative days (1.13 and 0.26 to Gmicrol and 4.52 and 1.14 to Gminil, respectively, p < 0.05). There was no significant difference between immediate postoperative the most common complaint being pain at the site of pain and that on the 3rd postoperative day. Gminil presented a higher morbidity rate incision. To evaluate the satisfaction degree and esthetic effect, numeric values were attributed to as good, regular, poor and very bad as answered by the patiets. Gmicrol presented a higher satisfaction degree (p < 0.05) and better esthetic effect as compared to Gminil (p < 0.05). The microlaparoscopy standard cost was R$ 109.30 being lower than that of minilaparotomy. Tubal ligation by microlaparoscopy, under local anesthesia and conscious sedation presented some advantages compared to minilaparotomy. (author's)

Keywords:

Research Report
Comparative Studies
Women
Sterilization Seekers
Tubal Ligation
Laparotomy
Laparoscopy
Pain
Satisfaction
Studies
Research Methodology
Demographic Factors
Population
Sterilization, Sexual
Family Planning
Female Sterilization
Surgery
Treatment
Medical Procedures
Medicine
Health Services
Delivery of Health Care
Health
Endoscopy
Physical Examinations and Diagnoses
Examinations and Diagnoses
Signs and Symptoms
Diseases
Psychological Factors
Behavior