title: Laparoscopic sterilization on a day-case basis.
abstract: A prospective series of 307 patients who underwent laparoscopic sterilization on a day-case basis is presented. Of these, 196 patients attended for the 6-month and 117 for the 1-year follow-up visit. There were 5 Blacks, 197 Coloureds and 105 Whites. Sterilization was done by means of tubal cauterization (137), Hulka-Clemens clips (34) and Falope rings (136). Although 18% of patients were under 30 years old, 16% were 40 years of age or older. A marked tendency to low parity was evident, 43% of Coloureds and 90% of Whites being para 3 or less. The main operative problem was uterine perforation. Of the patients 17% were not discharged on the day of operation. By the 5th postoperative day 86% had returned to normal working activities. Significantly more postoperative abdominal pain was reported in the clip and ring groups. Seven pregnancies occurred in the series, 6 after tubal cauterization and 1 after the application of Falope rings. On patient was probably pregnant at the time of the operation. Most patients reported no change in libido at the 1-year follow-up visit, and in 20% libido was increased Mild pelvic infection was the only significant finding at the 6-month and 1-year follow-up visits. Apart from the disturbingly high pregnancy rate and the relatively large number of patients who were not discharged on the day of operaton, the sterilization programme has been most acceptable.
mesh_terms: D000328:Adult; D001741:Black or African American; D000556:Ambulatory Surgical Procedures; D004651:Employment; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy; D007989:Libido; D009775:Obstetrics and Gynecology Department, Hospital; D010149:Postoperative Pain; D011247:Pregnancy; D013223:Statistics as Topic; D013245:Sterilization, Reproductive / Q000379:methods*; D044465:White People