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Laparoscopic Tubal Sterilization Coincident with Therapeutic Abortion by Suction Curettage

From the Department of Obstetrics and Gynecology at Women's Hospital, Los Angeles County/ USC Medical Center, Los Angeles, California

Abstract

The first 100 patients undergoing laparoscopic tubal sterilization concurrent with therapeutic abortion by suction curettage are reviewed. A detailed description of the combined surgical procedure is given. The surgical time was relatively quick, the postoperative recovery was smooth and rapid (almost 50% of the patients required no pain medication), and, although the follow-up period has been brief, no pregnancies have occurred. Despite all the operations being performed by physicians in various levels of training, only a small number of complications ensued. From this retrospective study, it is concluded that the combination of suction curettage and laparoscopic tubal fulguration can be accomplished with short hospitalization, minimal patient discomfort, imperceptible incisions, and no increase in postoperative morbidity when compared to laparoscopic sterilization of the nonpregnant woman.