Surgical contraception
Ayhan, A.; Kisnisci, H.A.
Acta Reproductiva Turcica 2(3): 87-93
1981
ISSN/ISBN: 0252-9696 PMID: 12263966 DOI: 10.1007/bf01849386Document Number: 438493
639 tubal ligation sterilizations were performed in 1970-80 in the Dept. of Obstetrics and Gynecology of the Hacettepe University, Ankara, Turkey. 34.58% were done through colpotomy, 30.6% through cesarean section, 30.20% through laparoscopy, 2.98% through hysterotomy, and 1.57% through minilaparotomy procedures. Average age of patients was 31.2; 52.47% of patients had had 5 or more pregnancies, and 60.09% 3 or less deliveries. The longest operating time was 45 minutes for cesarean section and tubal ligation, and the shortest was 12 minutes for colpotomy and tubal ligation. There were 22 cases of complications, 13 with laparoscopy, or 6.73%, and 9 with colpotomy, or 4.07%. Laparoscopic complications were 1 case of uterine perforation, 4 cases of bowel injury by cautery, bleeding and skin burns; postoperative laparoscopic sterilization complications were wound, pelvic, and urinary infections. Colpotomy complications were rectal perforation and ovarian cyst rupture; postoperative complications were, again, urinary, pelvic, and wound infections. There were 17 failures of sterilization, or 6.2%; 13 in patients undergoing laparoscopic tubal sterilization, and 2 in patients undergoing colpotomy tubal sterilization. There was no mortality reported in this series.
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