Laparoscopic tubal sterilization: Long-term postoperative follow-up
| Autor: | Thomas B. Lebherz, Vicki Kleinkopf, Lidia M. Rubinstein |
|---|---|
| Rok vydání: | 1976 |
| Předmět: |
Adult
medicine.medical_specialty animal structures Adolescent Sterilization Tubal Research methodology Surveys and Questionnaires Tubal occlusion medicine Humans Laparoscopy Tubal ligation medicine.diagnostic_test business.industry Incidence (epidemiology) Follow up studies Obstetrics and Gynecology General Medicine Middle Aged Menstruation Endoscopy Surgery Parity Reproductive Medicine Sterilization (medicine) Family planning Female business Follow-Up Studies |
| Zdroj: | Contraception. 13:631-638 |
| ISSN: | 0010-7824 |
| DOI: | 10.1016/0010-7824(76)90018-4 |
| Popis: | 93 women who underwent laparoscopic tubal coagulation during 1972-1973 were followed up for periods of 18 months to 3 years. Ages ranged from 17 to 47 years (mean 30.7) and 71% had 2-4 children. 8 requested sterilization prior to conception and 5 had pregnancy previously terminated by abortion. Most common postoperative complaints were tenderness at the incision site and shoulder or neck pain. In the 64 cases in which sterilization alone was performed average blood loss was less than 50 cc. In 8 cases it was associated with diagnositc dilatation and curettage, in 20 with therapeutic abortion, and in 1 with laparotomy. Complications included 1 case each of bleeding mesosalpinx controlled by cautery, wound hematoma, hematoma epiploic appendix, and peritoneal burn. A detailed menstrual history 18-36 months after operation found 73 of the 93 had regular periods with amount of bleeding and length of cycle generally unchanged. Of the 20 with menstrual changes, 2 developed amenorrhea within 1 year and 8 with preoperative menstrual irregularities were unchagned. 10 developed longer periods and/or shorter intervals. 5 related these changes to discontination of oral contraceptives. Of the remaining 1 had an abnormal Pap smear, 2 were 40-45 years of age (1 of whom refused vaginal hysterectomy for stress incontinence), and 2 were 35-40 with no previous history of cesarean sections or pelvic complaints. The majority (77%) of the women were satisfied with the procedure, 16% uncertain, and 5 patients expressed regret. 4 of the 5 who regretted the operation reported gynecological complaints. 5 required subsequent surgery. In 3 of the 5 the indication preexisted the sterilization and a more thorough screening might have prevented 2 surgical procedures. In this series the incidence of postoperative gynecological disease 18-36 months after laparoscopic tubal ligation is significantly lower than that reported in the literature for conventional tubal ligation. |
| Databáze: | OpenAIRE |
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