[Laparoscopic sterilization. Late sequelae of endocoagulation and bipolar electrocoagulation]

Area of Science:

• Gynecology
• Minimally Invasive Surgery

Background:

• Female sterilization is a common contraceptive procedure.
• Evaluating long-term safety and efficacy of different sterilization techniques is crucial.

Purpose of the Study:

• To compare late complications of bipolar electrocoagulation (BE) and endocoagulation (EK) for sterilization.
• To assess patient satisfaction and adverse events two years post-intervention.

Main Methods:

• A randomized investigation comparing BE and EK techniques.
• Follow-up assessment conducted two years after the sterilization procedure.

Main Results:

• No significant differences in late complications were observed between BE and EK.
• High patient satisfaction (97.4%) with sterilization, with 1.3% regretting the procedure.
• Approximately 40% reported pain; menstrual bleeding changes occurred in 40% (EK) and 60% (BE).
• Menopausal symptoms developed in 40% of both groups; two intrauterine pregnancies occurred in the BE group.

Conclusions:

• Both BE and EK appear safe for long-term sterilization with comparable outcomes.
• While generally satisfactory, potential side effects include pain, menstrual irregularities, and menopausal symptoms.
• The BE technique showed a slightly higher incidence of intrauterine pregnancies compared to EK.