A Comparative Study on the Outcome of Open and Laparoscopic Tuboplasty on Patients with Tubal Factor as the Cause of Infertility

Objectives: To compare the outcomes of laparoscopic and open tuboplasty among infertility patients with tubal factor. Design: Retrospective cross sectional study. Setting: Kenyatta National Hospital (KNH), Nairobi, Kenya. Methodology: A total of 80 files of each group were retrieved by systematic stratified sampling method. The files chosen had to meet the inclusion criteria of having tubal pathology as the sole cause of infertility and the interventional tubal surgery done. Results: Most postoperative complications were statistically significantly different (P<0.05) in the two groups, more in patients who were done open tuboplasty. In terms of the main outcome measures 3.7% of patients done open tuboplasty achieved a normal intrauterine pregnancy compared to 6.1% of those done laparoscopic tuboplasty. The difference was not statistically significant. 1.2% of the operated patients in the two groups had ectopic pregnancy assequel of corrective tuboplasty had miscarriage while non-in laparoscopy group. 92.7% in either group had a failure of any form of conception. Conclusions: The intrauterine pregnancy rates at K.N.H afterinterventional tubal surgery is low. Laparoscopic tuboplasty has a higher desired outcome than the open tuboplasty and had less complications. The In Vitro Fertilization is a better option in view of poor tuboplasty results.