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pubmed:abstractText |
A retrospective study regarding long-term sequelae among 818 randomly selected patients undergoing elective laparoscopic tubal sterilization is presented. These procedures were carried out at the Women's Medical Pavilion in Dobbs Ferry, NY, a free-standing surgical unit, between January 1, 1980 and June 30, 1985. A questionnaire was sent to each patient's last known address and, at the same time, attempts were made to contact them by telephone; 623 patients were reached and assessed as to satisfaction with tubal ligation, any ensuing menstrual changes requiring a D&C, and/or psychological problems. Also determined was the number of patients in the series who failed to continue routine gynecological care. It was found that the incidence of dissatisfaction with the operation was 2.9%, of undesired menstrual changes, 4.8%, and of psychiatric morbidity, 8.2%. These results were also correlated with the data of our medical records. In our series, 16.9% of the women failed to continue routine gynecological care. The necessity of thorough counseling by strict guidelines and the need for follow-up are discussed.
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pubmed:otherAbstract |
PIP: Late sequelae 16 months or more after laparoscopic sterilization by Falope rings (380) or electrocautery (243) were analyzed by mailed questionnaires, telephone interviews and medical records. The sterilizations were done from January 1980-June 1985 at a free-standing surgical clinic; patients were aged 22-48; 259 procedures were post- abortal, 364 were interval; 89% were by general anesthesia. The survey emphasized satisfaction or dissatisfaction with the procedure, altered menstrual pattern requiring D & C, psychological consequences and continuation of yearly gynecological care. 18% expressed regret, 7 because of having an abortion at the time, 1 because of the death of her child, and 6 because of remarriage. 2 women reported that their decision at the time was not definite, despite counseling. 2 failures resulted in pregnancy (0.3%). 4.8% required a D & C for abnormal menstrual bleeding. 13 of these 30 had prior history of menstrual disorders. 8.2% reported psychological problems, 33 were seen by a psychiatrist; 3 were in psychological care. Medical factors associated with the psychological problems were concomitant abortion in 5, and severe meno-metrorrhagia and depression 3. 16.9% failed to continue routine gynecological care. There was no apparent association of any of these findings with type of procedure or anesthesia. It was concluded that counseling should touch on all these topics more thoroughly before sterilization.
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