Complications of laparoscopic tubal sterilization.
The experience of laparoscopic sterilization in 5018 cases at the Deaconess Division of Buffalo General Hospital over a period of 8.5 years is presented. The procedure was completed in 4992 cases, with a complication rate of less than 1% and with no operative mortality. One half of the patients with complications required a laparotomy. Bleeding was the most common complication; it accounted for exactly one half the complications. The laparotomy rate for all complications was 4.6 per 1000 cases. Seven ectopic and 4 intrauterine pregnancies occurred after this procedure, for a method failure rate of 2.2 per 1000 cases. Recommendations for prevention and management of complications are presented.
D000328:Adult; D005260:Female; D006470:Hemorrhage / Q000209:etiology; D006801:Humans; D007422:Intestines / Q000293:injuries; D010535:Laparoscopy / Q000009:adverse effects*; D008875:Middle Aged; D009765:Obesity / Q000150:complications; D011183:Postoperative Complications; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000209:etiology; D013246:Sterilization, Tubal / Q000009:adverse effects; D014595:Uterine Perforation / Q000209:etiology