Vol. 4, Issue 3, Part G (2018)

Abstract
9000 tubectomies done in 25 year period and observed for failure. To the best of knowledge of the author two cases of pregnancy reported. These two were post operative adhesions and one tune tubal ligation done and another side the tube is adherent to anterior abdomen and unable to do tubal ligation and informed to the patient early. All tubectomies done in primary health centre and under local anaesthesia of plain 2% xylocaine 10 ml at the fundus level infiltrated. With a scissor the skin is cut and expanded, step wise peritoneum opened. Xylocain infiltrated on the viscera and with a led torch light in head low in trendelberg position and surgeon on left side of patient observed the uterus and tubes and with bob cocks the tube is grasped and tubectomy done. Post operative period one day observed one week anti-biotic given. Patient is sent to home. On 7th day review and suture removed. A complication in post tubectomy operation in our study was wound sepsis, stitch abscess, 2 ectopic pregnancy. 5 cases of menorrhagia after 5 years and underwent hysterectomy. Carcinoma ovary not seen. Carcinoma cervix is seen 3 cases as they are never came for check ups and no premalignant screening is done in India as a routine.