Evaluation of female sterilization and tubal tissue confirmation at Srinagarind Hospital.

ABSTRACT

OBJECTIVE: To determine the prevalence of unconfirmed uterine tube tissue and to compare the prevalence between medical staff and residents. MATERIAL AND METHOD: The authors recruited 693 women who underwent tubal resection at Srinagarind Hospital between January 1 and December 31, 2010. The authors recorded (a) the types of tubal resection, (b) the position of the surgeon, and (c) the result of the tubal tissue confirmation examination if conducted. RESULTS: There were 329 cases of postpartum tubal resection, six of interval tubal resection, and 358 of cesarean with tubal resection. Staff performed a respective 133, 2, and 195 and residents 196, 4, and 163 of these three surgeries, respectively. Most cases (79%; 548 of 693) underwent a tubal pathology examination. The primary pathology report revealed three cases of unconfirmed uterine tube, two of which were postpartum tubal resections and one was a cesarean section with a tubal resection. Staff operated one case of postpartum tubal resection while residents performed the balance. After an additional review of the specimens, only one case of cesarean section with tubal resection was an unconfirmed uterine tube. CONCLUSION: The prevalence of unconfirmed uterine tube for lack of a tissue confirmation was 0.18%, with no statistically significant difference between staff and residents. Notwithstanding, most of the staff clinicians considered this clinically significant.