Tubal sterilization: Complications of laparoscopy and minilaparotomy

Huber, Alexander W; Mueller, Michael D; Ghezzi, Fabio; Cromi, Antonella; Dreher, Ekkehard; Raio, Luigi (2007). Tubal sterilization: Complications of laparoscopy and minilaparotomy. European journal of obstetrics & gynecology and reproductive biology, 134(1), pp. 105-109. Shannon: Elsevier 10.1016/j.ejogrb.2006.06.016

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

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Gynaecology

UniBE Contributor:

Huber, Alexander; Mueller, Michael; Dreher, Ekkehard and Raio, Luigi

ISSN:

0301-2115

ISBN:

16872736

Publisher:

Elsevier

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 14:50

Last Modified:

08 Jun 2016 10:40

Publisher DOI:

10.1016/j.ejogrb.2006.06.016

PubMed ID:

16872736

Web of Science ID:

000250077500018

URI:

https://boris.unibe.ch/id/eprint/21171 (FactScience: 5143)

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