[Laparoscopic sterilization with electrocautery: complications and reliability (author's transl)].
Geburtshilfe Frauenheilkd, 1979/5;39(5):393-400.
Bänninger U, Kunz J, Schreiner WE
PMID: 156665
Impact factor: 2.754
Abstract
1084 laparoscopic sterilizations were evaluated in a retrospective study at the Universitäts-Frauenklinik Zürich. The operative and early postoperative complications and the reliability of the method were analysed and compared to the results in the literature. Based on a cumulative statistical analysis 0,5% intraoperative complications required laparotomy, the main indications being haemorrhages and bowel injuries. Failed attempts were encountered in one of 150 patients, the main causes of which were adhaesions and difficulties at establishing pneumoperitoneum. The failure rate of the laparoscopic electrocoagulation of the fallopian tube after a long-term follow-up was about 0,5%, 20--25% of these were ectopic pregnancies. The transection of the fallopian tubes did not diminish the pregnancy rate, but the risk of bleeding was considerably higher with this technic. Concurrently performed therapeutic abortion or preceeeding laparotomy did not increase the operative complication rate.
Keywords: Adhesions; Bleeding; Burns; Clinical Research; Contraception; Contraception Failure; Contraceptive Effectiveness; Diseases; Electrocoagulation; Endoscopy; Examinations And Diagnoses; Family Planning; Female Sterilization--complications; Gynecologic Surgery; Laparoscopy; Laparotomy; Physical Examinations And Diagnoses; Research Methodology; Signs And Symptoms; Sterilization, Sexual; Surgery; Surgical Error; Treatment; Use-effectiveness
MeSH terms
Electrocoagulation; Female; Hemorrhage; Humans; Intestines; Laparoscopy; Postoperative Complications; Pregnancy; Pregnancy, Ectopic; Retrospective Studies; Sterilization, Tubal
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