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Related Experiment Videos

Laparoscopic sterilization as an outpatient procedure.

V Madrigal, D A Edelman, A Goldsmith

    The Journal of Reproductive Medicine
    |May 1, 1977
    PubMed
    Summary

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    Outpatient laparoscopic sterilization is safe and effective, with minimal complications when performed by experienced surgeons in a family planning clinic setting. This procedure offers a low-risk option for women seeking permanent contraception.

    Area of Science:

    • Minimally Invasive Gynecological Surgery
    • Outpatient Surgical Procedures
    • Family Planning

    Background:

    • Laparoscopic sterilization has become a common method for female sterilization.
    • The safety and efficacy of performing these procedures in outpatient settings require ongoing evaluation.

    Purpose of the Study:

    • To assess the safety and complication rates of laparoscopic sterilization performed as outpatient procedures.
    • To evaluate the feasibility of performing these surgeries in a family planning clinic with minimal surgical facilities.

    Main Methods:

    • Over 2,000 laparoscopic sterilizations were conducted between June 1972 and the study period.
    • Procedures utilized neuroleptanalgesia, with tubal occlusion achieved via electrocoagulation, spring-loaded clips, or tubal rings.
    Keywords:
    Age FactorsAmericasCentral AmericaClinical ResearchClipsDelivery Of Health CareDeveloping CountriesEl SalvadorElectrocoagulationEndoscopyEquipment And SuppliesEvaluationExaminations And DiagnosesFamily PlanningFemale Sterilization--complicationsGynecologic SurgeryHealthHealth FacilitiesLaparoscopy--complicationsLatin AmericaNorth AmericaOutpatient ClinicParityPhysical Examinations And DiagnosesResearch MethodologySterilization, SexualSurgeryTreatmentTubal Occlusion

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  • All surgeries were performed in a family planning clinic with basic facilities, no general anesthesia, and a nearby hospital.

    • Main Results:

    • A single patient (less than 0.1%) required hospitalization due to an aortic puncture during needle placement.
    • Minor complications, including abdominal wall emphysema, bleeding, and infections, occurred in less than 4% of patients.
    • No instances of bowel or bladder burns were reported.

    Conclusions:

    • Laparoscopic sterilization can be safely performed in an outpatient family planning clinic setting.
    • Experienced surgeons can achieve high safety and efficacy with minimal additional risk to patients.
    • This approach offers a viable and safe option for permanent contraception.