Table 2.
Primary, secondary surgical and safety outcomes between salpingectomy and bilateral tubal ligation (BTL) groups [Data presented as n (%), mean± standard deviation, or median (interquartile range)]
| BTL (n=40) |
Salpingectomy (n=40) |
p- value |
|
|---|---|---|---|
|
| |||
| Bilateral completion of procedure | 38 (95) | 27 (68) | 0.002 |
|
| |||
| Total operative time (minutes) | 60.0 ± 23.3 | 75.4 ± 29.1 | 0.004 |
| 57.5 (45.5–67.5) | 71.0 (57.5–87.0) | ||
|
| |||
| Sterilization operative time (minutes) | 6.9 ± 5.0 | 18.5 ± 8.3 | < 0.001 |
| 5.0 (4.0–8.0) | 18.0 (14.0–22.0) | ||
|
| |||
| Total procedure EBL (cc) | 930 ± 221 | 1007 ± 426 | 0.56 |
| 800 (800–1000) | 807.5 (800–1000) | ||
|
| |||
| Sterilization procedure EBL | 6 ± 4 | 17 ± 14 | <0.001 |
| 5 (5–10) | 10 (5–25) | ||
|
| |||
| Intraoperative complications1 | 1 (3) | 0 (0) | 0.49 |
|
| |||
| Change in HCT (%) | 4.9 ± 3.4 | 7.2 ± 5.9 | 0.12 |
| 4.5 (2.9–7.2) | 6.0 (3.9–8.7) | ||
|
| |||
| Postpartum hemorrhage | 0 (0) | 3 (8) | 0.24 |
|
| |||
| Blood transfusion | 2 (5) | 3 (8) | >0.99 |
| Intraoperative | 1 (3) | 1 (3) | >0.99 |
| Postoperative | 1 (3) | 3 (8) | 0.62 |
|
| |||
| Called to evaluate possible postoperative complication | 1 (3) | 0 (0) | >0.99 |
|
| |||
| Average pain score | 8.9 ± 4.8 | 8.7 ± 4.8 | 0.91 |
| 8.1 (5.6–11.5) | 8.8 (6.4–11.7) | ||
|
| |||
| Postoperative complications2 | 2 (5) | 3 (8) | >0.99 |
|
| |||
| ICU admission3 | 0 (0) | 1 (3) | >0.99 |
|
| |||
| Maternal postoperative hospital stay | 3.9 ± 1.3 | 3.4 ± 0.6 | 0.018 |
| 4 (3–4) | 3 (3–4) | ||
|
| |||
| Presented to hospital within first week | 5 (13) | 5 (13) | >0.99 |
| Wound complaint | 5 (13) | 4 (10) | >0.99 |
| Abdominal Pain | 1 (3) | 1 (3) | >0.99 |
| Reported Fever | 1 (3) | 1 (3) | >0.99 |
|
| |||
| Readmission within first week4 | 1 (3) | 1 (3) | >0.99 |
| Non-infectious wound complication | 1 (3) | 0 (0) | >0.99 |
|
| |||
| Wound infection | 0 (0) | 1 (3) | >0.99 |
|
| |||
| Antibiotics | 0 (0) | 1 (3) | >0.99 |
| Wound debridement | 0 (0) | 1 (3) | >0.99 |
|
| |||
| Presented to hospital up to 6 weeks postpartum | 6 (15) | 7 (18) | 0.76 |
| 6 (15) | 5 (13) | 0.75 | |
| Wound complaint | 1 (3) | 2 (5) | >0.99 |
| Vaginal Bleeding | 4 (10) | 3 (8) | >0.99 |
| Abdominal Pain Fever | 2 (5) | 2 (5) | >0.99 |
| Fever | |||
|
| |||
| Readmission up to 6 week postpartum4 | 1 (3) | 3 (8) | 0.62 |
| Wound infection | 1 (3) | 2 (5) | >0.99 |
| Antibiotics | 1 (3) | 2 (5) | >0.99 |
| Wound debridement | 1 (3) | 2 (5) | >0.99 |
1
Complication was bleeding secondary to myomatous uterus
2
Complications: TL group - postoperative ileus and anemia of unknown source
SPG group: bleeding from hysterotomy (n=2), anemia of unknown source (n=1)
3
ICU admission secondary to hysterectomy for placenta accreta
4
All reoperations were for wound exploration/superficial infection and not noted by the data monitoring safety board to be related to sterilization procedure.