Tubal sterilization: Complications of laparoscopy and minilaparotomy

被引:24
作者
Huber, Alexander W.
Mueller, Michael D.
Ghezzi, Fabio
Cromi, Antonella
Dreher, Ekkehard
Raio, Luigi
机构
[1] Univ Bern, Dept Obstet & Gynecol, Inselspital, CH-3010 Bern, Switzerland
[2] Univ Insubria, Dept Obstet & Gynecol, Varese, Italy
来源
EUROPEAN JOURNAL OF OBSTETRICS GYNECOLOGY AND REPRODUCTIVE BIOLOGY | 2007年 / 134卷 / 01期
关键词
laparoscopy; sterilization; timing; complications;
D O I
10.1016/j.ejogrb.2006.06.016
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
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. (C) 2006 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:105 / 109
页数:5
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