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pubmed:otherAbstract |
PIP: Four different techniques of laparoscopic tubal sterilization are evaluated. Two, cryosurgery alone and electrocoagulation alone, were abandoned due to subsequent pregnancies. Electrocoagulation and cutting, using the Palmer biopsy drill forceps, or a modification using 2 instruments for coagulating and for cutting are still used under general anesthesia. Discharge was 24 hours later. Hysterosalpingography was done in 50 cases, 10-12 weeks postoperatively. In one patient there was spill from the medial stumps. There was 1 subsequent pregnancy, but hysterosalpingograms had shown occlusion. The major operative complication was bleeding of which five cases required laparotomy. Other complications included perforation of stomach and large bowel serosa; cardiac arrhythmias during the procedure, perforation of the uterus by the dilator, and failed pneumoperitoneum. Electrocoagulation followed by tubal cutting is the preferred method.
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