[Gynaecological laparoscopy (author's transl)]

The double puncture laparoscopy was abandoned in our department in favor of the single puncture technique. 187 diagnostic laparoscopies and 617 laparoscopic tubal ligations are reviewed. In 46% of the diagnostic laparoscopies, the findings were confirmed. In 40% of the diagnostic laparoscopies, normal findings were seen and in 11%, a different abnormal finding than suspected was found. In 3% of women, the findings could not be elucidated by laparoscopy. None of the 617 patients who underwent laparoscopic tubal sterilization have become pregnant. In 5% of the patients (0.6%) complications occurred. In 3 cases a laparotomy became necessary. In 2 cases there was bleeding from the fallopian tube or the greater omentum and in 1 case there was a trauma to the intestine. Laparoscopic tubal sterilization by the single puncture technique and coagulation without division of the tube only, is considered to be the lowest risk method of the laparoscopic tubal sterilizations.