Tubal sterilization: Complications of laparoscopy and minilaparotomy

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• 作者：Alex ; er W. Huber ; Michael D. Mueller ; Fabio Ghezzi ; Antonella Cromi ; Ekkehard Dreher ; Luigi Raio
• 关键词：Laparoscopy ; Sterilization ; Timing ; Complications
• 刊名：European Journal of Obstetrics and Gynecology and Reproductive Biology
• 出版年：2007
• 期刊代码：92_03012115
• 类别：med
• 出版时间：September 2007
• 卷：134
• 期：1
• 页码：105-109
• 文件大小：119 K

摘要

To evaluate whether intra- and post-operative morbidity varies according to the method used for female sterilization.

ss="h4">Study design

The database of the Swiss obstetric study group was analyzed for a period of 9 years. After the exclusion of cases with extraneous factors that may have influenced the operative outcome, three groups of patients were identified: (1) interval laparoscopic sterilization unrelated to pregnancy (n = 20,325); (2) postpartum laparoscopic sterilization (n = 2233); (3) postpartum sterilization by minilaparotomy (n = 5095). Intra-operative and post-operative complications were compared according to the surgical approach.

ss="h4">Results

A total of 27,653 patients were included in the study. The proportion of major complications was higher in group 3 than in group 1 (0.39%versus 0.10%, odds ratio 4.0, 95%CI 2.15–7.44, p < 0.001) but not statistically different between groups 1 (0.10%) and 2 (0.18%). Minor complications were statistically significantly more frequent in group 3 (0.82%) than in group 1 (0.26%) or group 2 (0.27%). There was no case of intra-operative or post-operative death in the study population.

ss="h4">Conclusion

When available, a laparoscopic approach should be chosen for female sterilization. After uneventful pregnancy course and delivery, it does not seem justified to delay the endoscopic sterilization to a later time.