Comparison of tubal ligation by minilaparotomy (Pomeroy) and laparrscopy (Filsie-Clips)

Abstract Background: Finding, low cost and safe way for tubal ligation, is of great importance. Objective: To determine duration of operation, recovery, hospitalization and complications (up to one week) in both methods. Methods: In a randomized clinical trial, 30 patients were elected for minilaparotomy (pomeroy) and 30 other patients for laparoscopy (Filshie-Clips). Duration of surgery, recovery, hospitalization and complications were compared. Findings: Duration of surgery and recovery were the same in both methods. Hospitalization was less in laparoscopic group (8 ± 13.39 hr vs 18.6 ± 16.22 hr). Vomiting and nausea was more in laparoscopic group (10% vs 3.3%). There were not any complication in laparoscopic group after 1 week, but there were 4 cases with edema and erythema, pain (infection) around their incisions in minilaparotomy group (0% vs 13.3%). Conclusion: The findings indicated that tubal ligation by laparoscopy and Filshie-Clips is better and simpler.