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.