Laparoscopic tubal sterilization: a report on 300 cases.

PIP: 300 cases of laparoscopic tubal sterilization using a single entry technique under local anesthesia are described. The routine procedure is described along with figures depicting surgical equipment used. Briefly, the fallopian tubes were cauterized by a 3-burn method and the procedure was performed on an outpatient basis. A 10% failure and complication rate is reported, including 3 cases of wound sepsis, 1 case of vaginal laceration, 2 cases of intraabdominal bleeding, 3 cases of drug allergy, 3 cases of extraperitoneal insufflation, and 1 bowel burn. 1 pregnancy occurred (rate of .5) due to unsatisfactory cautery. 15 failed operations occurred due to inadequate anesthesia, pelvic inflammatory disease, and other technical difficulties. Acceptor characteristics are presented tabularly, and the majority were unmarried; age range was from 23-44 years; and parity ranged up to .12. This procedure used a Wolf 10-mm diameter operating laparoscope attached to fiber optic light.^ieng

Laparoscopic tubal sterilization: a report on 300 cases

A report is given of 300 cases of laparoscopic sterilizations carriedout at the University Hospital of the West Indies. The fallopian tubes were cauterized by the three-burn method using the single-entry technique of laparoscopy. The use of local and systemic analgesia allowed the procedure to be performed an outpatient basis which is a matter of great importance in the West Indian setting. There were a few minor complications, and the follow-up results have have so far been encouraging. The operative complication rate was 4 per cent and the pregnancy rate was 0.5 per cent. (AU)