Perbandingan Sindroma Pasca Sterilisasi Tuba antara Teknik Pomeroy dan Laparoskopi Falope Ring

Abstract

Background: People in developing countries face the problem of high rates of unplanned and unwanted pregnancies, despite the existence of safe and effective contraception. Operative sterilization with several methods of surgery such as laparotomy, mini-laparotomy, and laparoscopy are methods that are quite popular, easy, safe, and cost-effective and are culturally acceptable as long-term contraception. Many studies discuss the short and long term consequences of tubal sterilization procedures. Complaints can be in the form of pain during intercourse, heat in the back of the back, abnormal uterine bleeding, premenstrual pain syndrome, known as Post Tubal Ligation Syndrome. Research on post tubal ligation syndrome has been widely carried out in the world, but studies comparing pomeroy techniques and fallopian ring lapcopy have not been done much, especially in Indonesia. Objective: Knowing the comparison of post-tubal sterilization syndrome between the Pomeroy technique and Laparoscopic Falope Ring Method: This study was an analytic observational study with a cross-sectional study design of women who had undergone the sterilization of the Pomeroy technique and Laparoscopic Falope Ring to see the effects of post-sterilization and a comparison between the two at H. Adam Malik General Hospital Medan, RSUD dr. Pirngadi Medan and Medan MANTAP Clinic that meet the inclusion and exclusion criteria use non probability methods with consecutive sampling techniques. All data is collected and then analyzed. Data were analyzed using chi square test. If it does not meet the requirements, then the Fisher exact test is used. P values less than 0.05 were considered significant with 95% CIs. Result: From the results of the study obtained the characteristics of the patient's age. more ≥35 years (82%). The highest parity is parity 4 group by 96%. The distance between the patients is done by tubal sterilization and completing the research form entirely ≥ 6 months. premenstrual syndrome was more common in the pomeroy sterilization group compared with the laparoscopic group, but was not statistically significant (50.9% vs 49.1%, p = 0.851). Menstrual cycle intervals and long periods were largely unchanged in both groups (49.6% vs 50.4%, p = 0.973; 48.8% vs 51.2%, p = 0.347). The majority of intermenstrual hemorrhage and dysmenorrhoea were also not complained of by the two study groups (50% vs 50%, p = 1,000; 52.2% vs 47.8%, p = 0.615). Libido complaints decreased mostly in the laparoscopic group (57.1%, p = 0.462), and complaints of libido increased also more in the laparoscopic group than in the pomeroy sterilization group (71.4% vs 28.6%). Conclusion: there was no difference in post-tubal sterilization syndrome between the Pomeroy technique and the Fallopian Ring Laparoscopy.

Background: People in developing countries face the problem of high rates of unplanned and unwanted pregnancies, despite the existence of safe and effective contraception. Operative sterilization with several methods of surgery such as laparotomy, mini-laparotomy, and laparoscopy are methods that are quite popular, easy, safe, and cost-effective and are culturally acceptable as long-term contraception. Many studies discuss the short and long term consequences of tubal sterilization procedures. Complaints can be in the form of pain during intercourse, heat in the back of the back, abnormal uterine bleeding, premenstrual pain syndrome, known as Post Tubal Ligation Syndrome. Research on post tubal ligation syndrome has been widely carried out in the world, but studies comparing pomeroy techniques and fallopian ring lapcopy have not been done much, especially in Indonesia. Objective: Knowing the comparison of post-tubal sterilization syndrome between the Pomeroy technique and Laparoscopic Falope Ring Method: This study was an analytic observational study with a cross-sectional study design of women who had undergone the sterilization of the Pomeroy technique and Laparoscopic Falope Ring to see the effects of post-sterilization and a comparison between the two at H. Adam Malik General Hospital Medan, RSUD dr. Pirngadi Medan and Medan MANTAP Clinic that meet the inclusion and exclusion criteria use non probability methods with consecutive sampling techniques. All data is collected and then analyzed. Data were analyzed using chi square test. If it does not meet the requirements, then the Fisher exact test is used. P values less than 0.05 were considered significant with 95% CIs. Result: From the results of the study obtained the characteristics of the patient's age. more ≥35 years (82%). The highest parity is parity 4 group by 96%. The distance between the patients is done by tubal sterilization and completing the research form entirely ≥ 6 months. premenstrual syndrome was more common in the pomeroy sterilization group compared with the laparoscopic group, but was not statistically significant (50.9% vs 49.1%, p = 0.851). Menstrual cycle intervals and long periods were largely unchanged in both groups (49.6% vs 50.4%, p = 0.973; 48.8% vs 51.2%, p = 0.347). The majority of intermenstrual hemorrhage and dysmenorrhoea were also not complained of by the two study groups (50% vs 50%, p = 1,000; 52.2% vs 47.8%, p = 0.615). Libido complaints decreased mostly in the laparoscopic group (57.1%, p = 0.462), and complaints of libido increased also more in the laparoscopic group than in the pomeroy sterilization group (71.4% vs 28.6%). Conclusion: there was no difference in post-tubal sterilization syndrome between the Pomeroy technique and the Fallopian Ring Laparoscopy.