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Laparoscopic tubal sterilization after two or more cesarean sections
Archana A Ghoshal1, Sangeeta D Agrawal, Shirish S Sheth
1Sheth Nursing Home, Maharashtra, India.
Study Objective:
To determine the safety of laparoscopic tubal sterilization in women who have had two or more cesarean sections.
Design:
Retrospective study (Canadian Task Force classification III).
Setting:
Private clinic and hospitals.
Patients:
Two hundred ten consecutive women.
Intervention:
Laparoscopic tubal sterilization.
Measurements And Main Results:
The procedures were done with no difficulty in all but two women. In addition to the two failures, one woman experienced bladder trauma.
Conclusion:
Laparoscopic sterilization after several cesarean sections is possible and is associated with low morbidity. Scarring from cesarean sections should not be a contraindication if extra care is taken.