Objective: To evaluate the demographic data such as age, parity, living male child, educational status, intraoperative, and postoperative complications of laparoscopic tubal ligation by single puncture method.
Methods: A prospective study of Laparoscopic Tubal Ligation was conducted at a medical college during 2016-2022. A total of 1060 cases were enrolled based on criteria, and Laparoscopic Tubal Ligation was performed under sedation plus local anesthesia. The procedure was done after 1st trimester MTP, during the interval, and the puerperal period.
Result: Most of the patients (79.67%) were in the age group of 22-30 years. 53.38% were para 2. Out of the total, 97.24% of women had 2 or more living children, while only 2.76% had only one living child. Similarly, 97.24% had 1 or more male child, and only 2.76% had no male child. During the procedure, 3 (0.28%) patients had uterine perforation, and one (0.9%) had Mesosalpinx hematoma that required laparotomy. Additionally, 3 (0.28%) patients had serous and blood discharge from the wound, 4 (0.37%) had wound gaping, and 1 (0.9%) had omental prolapse. None of the patients developed peritonitis, bowel injury, or required laparotomy at a later stage. Further study and follow-up are required to comment on the failure rates.
Conclusion: The associated factors with single puncture laparoscopic tubal ligation include age, parity, number of living children, male child, complications, and timing of surgery.
