Background: The study aims to compare the impact of 1% Xylocaine spray on fallopian tubes prior to tubal ligation via minilaparotomy or laparoscopic sterilization, exploring its role in alleviating postoperative pain and enhancing patient satisfaction in gynecological surgery. Methods: The prospective comparative study involved 100 women undergoing tubal ligation, randomly assigned to either minilaparotomy (Group 1) or laparoscopic sterilization (Group 2). In Group 1, Xylocaine spray was applied to the fallopian tubes prior to tubal ligation, while no Xylocaine spray was used in Group 2. Data was analyzed using appropriate statistical methods. Results: Baseline characteristics between the two groups were similar, with no significant differences in age, BMI, parity, or past medical history. Postoperative outcomes revealed that mean pain scores at 6 and 24 hours were significantly lower in Group 1 compared to Group 2. The incidence of fallopian tube spasm was lower in Group 1, although not statistically significant. However, the mean duration of surgery was longer in Group 2. Patient satisfaction scores were higher in Group 1. Multivariate regression analysis showed that the use of Xylocaine spray was associated with lower pain scores and higher patient satisfaction. Conclusion: The study suggests that the application of 1% Xylocaine spray on fallopian tubes prior to tubal ligation via minilaparotomy is associated with lower postoperative pain scores and higher patient satisfaction compared to laparoscopic sterilization without Xylocaine spray. While laparoscopic sterilization may result in longer surgical duration, there were no significant differences in the incidence of postoperative complications between the two approaches. Recommendations: Based on these findings, the use of Xylocaine spray should be considered as part of pain management strategies during tubal ligation procedures, particularly for patients undergoing minilaparotomy. Further research could explore the long-term effects and cost-effectiveness of this approach.

Background: The study aims to compare the impact of 1% Xylocaine spray on fallopian tubes prior to tubal ligation via minilaparotomy or laparoscopic sterilization, exploring its role in alleviating postoperative pain and enhancing patient satisfaction in gynecological surgery. Methods: The prospective comparative study involved 100 women undergoing tubal ligation, randomly assigned to either minilaparotomy (Group 1) or laparoscopic sterilization (Group 2). In Group 1, Xylocaine spray was applied to the fallopian tubes prior to tubal ligation, while no Xylocaine spray was used in Group 2. Data was analyzed using appropriate statistical methods. Results: Baseline characteristics between the two groups were similar, with no significant differences in age, BMI, parity, or past medical history. Postoperative outcomes revealed that mean pain scores at 6 and 24 hours were significantly lower in Group 1 compared to Group 2. The incidence of fallopian tube spasm was lower in Group 1, although not statistically significant. However, the mean duration of surgery was longer in Group 2. Patient satisfaction scores were higher in Group 1. Multivariate regression analysis showed that the use of Xylocaine spray was associated with lower pain scores and higher patient satisfaction. Conclusion: The study suggests that the application of 1% Xylocaine spray on fallopian tubes prior to tubal ligation via minilaparotomy is associated with lower postoperative pain scores and higher patient satisfaction compared to laparoscopic sterilization without Xylocaine spray. While laparoscopic sterilization may result in longer surgical duration, there were no significant differences in the incidence of postoperative complications between the two approaches. Recommendations: Based on these findings, the use of Xylocaine spray should be considered as part of pain management strategies during tubal ligation procedures, particularly for patients undergoing minilaparotomy. Further research could explore the long-term effects and cost-effectiveness of this approach.