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Related Experiment Videos

Outpatient laparoscopic interval female sterilization

S Intaraprasert1, S Taneepanichskul, K Chaturachinda

  • 1Department of Obstetrics and Gynaecology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.

Contraception
|May 1, 1997
PubMed
Summary

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This 23-year review of laparoscopic female sterilization found a low complication rate of 0.39% for intraoperative issues and 0.72% for hospital admissions, with adnexal injuries most common. Management strategies are discussed.

Area of Science:

  • Gynecology
  • Minimally Invasive Surgery
  • Public Health

Background:

  • Laparoscopic sterilization is a common method for female contraception.
  • Long-term data on the safety and complications of this procedure are valuable for clinical practice.
  • Ramathibodi Hospital has a significant history of performing laparoscopic sterilizations.

Purpose of the Study:

  • To conduct a comprehensive 23-year retrospective review of laparoscopic interval female sterilizations.
  • To analyze the incidence and types of intraoperative complications and hospital admissions.
  • To discuss the management and prevention strategies for identified complications.

Main Methods:

  • Retrospective review of medical records.
  • Analysis of 9041 cases of outpatient laparoscopic interval female sterilizations.
Keywords:
Adnexal EffectsAsiaBiologyDeveloping CountriesEndoscopyExaminations And DiagnosesFamily PlanningFemale SterilizationGenital Effects, FemaleGenitaliaGenitalia, FemaleLaparoscopy--complicationsPhysical Examinations And DiagnosesPhysiologyResearch MethodologyResearch ReportRetrospective StudiesSoutheastern AsiaSterilization, SexualStudiesThailandUrogenital System

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  • Data collection from January 1973 to December 1995.
  • Main Results:

    • A total of 9041 procedures were performed.
    • Intraoperative complications occurred in 35 cases (0.39%).
    • Hospital admissions were recorded in 65 cases (0.72%), with adnexal injuries being the most frequent complication. One death occurred due to anesthetic complications.

    Conclusions:

    • Laparoscopic female sterilization is a safe procedure with a low complication rate when performed in a hospital setting.
    • Adnexal injuries and anesthetic complications, though rare, require careful management and prevention.
    • Continuous monitoring and adherence to safety protocols are essential for improving patient outcomes in laparoscopic sterilization.