Comparing Two Salpingectomy Methods for Permanent Sterilization During Cesarean Delivery Using Bipolar Energy Instrument or Traditional Sutures

What this Trial Is About

Researchers are studying permanent sterilization in women requesting tubal sterilization at the time of cesarean delivery. This study compares two techniques for complete salpingectomy using a hand-held bipolar energy instrument versus traditional suture ligation. The goal is to evaluate short-term clinical outcomes and cost differences, as no preferred technique has yet emerged in current practice. The study involves women who are at least 21 years old, at 24 weeks gestation or beyond, requesting permanent sterilization during cesarean delivery. Two groups are compared retrospectively one using a hand-held bipolar energy instrument for salpingectomy, and the other using traditional suture ligation. Data collection covers the surgical procedure and immediate postpartum period. Participants outcomes include changes in hemoglobin levels one day after surgery, procedure completion rates, blood loss during surgery, adjacent organ damage, need for blood transfusion, operative time, ICU admissions, length of hospital stay, readmissions, reoperation rates, pain scores, surgical site infections, and hospital costs. Monitoring occurs from surgery day up to six weeks postpartum, providing comprehensive clinical and economic data related to each technique.

Comparison of Two Salpingectomy Techniques for Sterilization at the Time of Cesarean Delivery