PELVIC CONGESTION SYNDROME FOLLOWING SALPINGECTOMY COMPARED TO TUBAL LIGATION AT TIME OF CAESAREAN SECTION - A RANDOMIZED CLINICAL TRIAL

Background: Permanent tubal sterilization during Caesarean section is a reliable method of contraception. It is done either by bilateral tubal ligation or bilateral salpingectomy according to surgeon’s preference.Objective: To evaluate the effects of tubal ligation versus bilateral salpingectomy during caesarean section in terms of pelvic venous congestion.Methods: Between January and August of ۲۰۲۴, a total of ۶۴ pregnant women who had caesarean sections and requested tubal sterilization as a permanent method of contraception participated in this randomized clinical trial at Ain Shams University hospitals. Results: The tubal ligation group had a significantly greater mean age (۳۸.۲۸ vs. ۳۶.۴۷, p=۰.۰۲۷), although there is no significant difference in BMI or gestational age between the groups. Comparing the prevalence of menstrual irregularities and pelvic pain between the tubal ligation and salpingectomy groups. The prevalence of these conditions does not significantly differ between the two groups. contrasting the tubal ligation and salpingectomy groups' various intraoperative and postoperative results, including ovarian vein diameter, duplex waveform changes, crossing veins in the myometrium, dilated veins in the pelvic plexus, blood transfusion, and septic wound. Conclusion: The current study clearly shows that there were no significant differences in those getting bilateral salpingectomy during a cesarean section and those undergoing tubal ligation in terms of intraoperative and postoperative outcomes, menstrual abnormalities, or pelvic venous congestion. Bilateral salpingectomy demonstrated similar safety to tubal ligation in terms of operative complications, menstrual cycle disturbances, and pelvic pain.

Keywords:

Salpingectomy , Tubal Ligation , Pelvic Congestion Syndrome , Caesarean Section