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Laparoscopic tubal sterilization under local anesthesia
A N Poindexter1, M Abdul-Malak, J E Fast
1Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas.
Obstetrics and Gynecology
|January 1, 1990
Summary
Laparoscopic tubal sterilization using local anesthesia is safe and effective. This outpatient procedure significantly reduces hospital costs and operative time, demonstrating its viability for women seeking permanent contraception.
Area of Science:
- Gynecology
- Minimally Invasive Surgery
Background:
- Laparoscopic tubal sterilization is a common procedure.
- Local anesthesia has been explored as an alternative to general anesthesia for safety and cost-effectiveness.
Purpose of the Study:
- To evaluate the safety, efficacy, and cost-effectiveness of laparoscopic tubal sterilization performed under local anesthesia.
Main Methods:
- A retrospective descriptive study of 2827 cases of laparoscopic tubal sterilization using the silastic ring under local anesthesia.
- Data collected on technical failure rates, complications, operative time, anesthesia time, and hospital costs.
Main Results:
- A low technical failure rate of 0.14% was observed.
- No unintended laparotomies occurred due to complications.
- Mean operative time was 10.0 minutes, and mean anesthesia time was 23.3 minutes.
- Hospital costs were reduced by 68-85%.
Conclusions:
- Laparoscopic tubal sterilization under local anesthesia is an adequate, safe, and quick outpatient procedure.
- This method offers significant cost savings for patients.
- The findings support the routine use of local anesthesia for this procedure.