A Comparison Between Two Methods of Fallopian Tubal Ligation for Sterilization of Women in a Low Resource Setting

Abstract

Objective: To compare two methods of tubal sterilization; modied Pomeroy and a modication added to modied Pomeroy's method, in a low resource setting. In this prospective study conducted fromMethods: 2019 to 2021 in one thousand women, we compared Pomeroy's method with an other method in which a slight modication in the original modied Pomeroy's technique was introduced, in a very low resource rural community hospital with only basic operation theater facility. In modied Pomeroy's method, a loop of fallopian tube is resected and transxed with 2-0 chromic catgut surgical suture material. In our study we added another modication to the modied Pomeroy's method, wherein the proximal end of the fallopian tube was additionally ligated with a 2-0 silk suture. The patients were followed up from 6months-2 years. A failure rate of 0.4% was observed in women who underwent Modied Pomeroy's method in contrast to noResults: failure in women in whom the proximal end of the tube was additionally ligated. Additional modication to theConclusion: original modied Pomeroy's method of sterilization can be potentially promising in reduction of sterilization failure rate in parts of world where salpingectomy is less readily accepted.