COMPLICATIONS OF INTERVAL LAPAROSCOPIC TUBAL-STERILIZATION

  • 1 January 1983
    • journal article
    • research article
    • Vol. 61  (2) , 153-158
Abstract
In 1978, the Center for Disease Control [Atlanta, Georgia, USA] initiated a multicenter prospective study to assess the safety of the various female sterilizing operations and the ways in which they could be made safer. During the first 31 mo., 3500 women who underwent interval laparoscopic tubal sterilization by electrocoagulation or Silastic banding without other concurrent operations were enrolled in the study. When a standard definition of complications was used, the overall rate of an intraoperative or postoperative complication was 1.7 per 100 women. Several patient factors increased the risk of complications 2-fold or more: diabetes mellitus, previous abdominal or pelvic surgery, lung disease, a history of pelvic inflammatory disease and obesity. There was a 5-fold difference in complication rates between procedures performed under general anesthesia and those done under local anesthesia.