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Laparoscopic Sterilization

Review of 3600 Cases

Department of Obstetrics and Gynecology at The Johns Hopkins Hospital, Baltimore, Maryland.

A review of 3600 cases of laparoscopy sterilization has been made. The complications, failure rate, and technics for this procedure are discussed. The surgical lechnic was altered three times during the study period. The data have been calculated relative in the particular technic used. The review includes results with a) the two-incision technic; b) the one-incision, one-burn lechnic; and c) the one-incision, three-burn technic under general and local anesthesia. It was found that the majority of patients could undergo the procedure as outpatients and that local anesthesia was adequate for most patients. The expected pregnancy rate after the procedure should be less than 0.3%. The most serious complication noted was inadvertent electrocoagulation of the gastrointestinal tract. The results encourage us to continue our policy toward sterilization and the lechnic described in this review.

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