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Title: TUBOPLASTY THROUGH MICROSURGERY

e-poster Number: EP 344

Category: Endoscopy and Gynaecologic Surgery
Author Name: Dr. Diya Garg
Institute: Grant GOVERNMENT MEDICAL COLLEGE AND SIR JJ GROUP OF HOSPITAL
Co-Author Name:
Abstract :
INTRODUCTION: In view of permanent sterilization being important constituent of National family planning program, sterilizations are nowadays performed in young women of low parity assuming that family is complete. However due to unforeseen circumstances, 1-3% of these women later request reversal of sterilization. Due to increasing number of perinatal and childhood morbidity and mortality along with unforeseen circumstance, with the help of tuboplasty through minilap incision, the number of people who request for tuboplasty is increasing. AIMS AND OBJECTIVES: To study tuboplasty through minilap incision with respect to the following parameters: 1. Intra-operative time 2. Intra-operative blood loss 3. Post-operative pain 4.Time required to start orals post-op 5.Day of achieving complete ambulation 6.Post-operative febrile illness7.Wound healing 8.Hospital stay 9.Experience of operating surgeon MATERIALS AND METHODS: It is a retrospective and prospective analytical study conducted in cases of tuboplasty done in Sir J.J. Group of Hospitals through minilap incision. RESULTS: As compared to conventional laparotomy access, mini-laparotomy technique is associated with decreased risk of tissue injury, foreign body contamination of peritoneal cavity, adhesions, decreased post operative pain and early rehabilitation. Although laparoscopic tuboplasty is associated with minimal tissue injury, less adhesions and faster recovery but it requires longer operative time, risk of visceral injury and need for general anesthesia with expertise in laparoscopic technique. Mini-laparotomy tuboplasty done through a mini laparotomy incision offers combined advantages of both conventional and laparoscopic recanalization. This technique offers precise tissue alignment, which can be confirmed with direct tactile feedback. It is an easier operative technique due to no requirement of in-depth surgery. CONCLUSION: As per the study tuboplasty if performed through a minilap incision by an experienced surgeon, had an overall decreased morbidity resulting in better patient satisfaction and reduced hospital stay. Tubal bypass is a costly affair that not all can afford hence the need for tuboplasty is rising and therefore one can definitely try and master tuboplasty through a mini- laparotomy incision.