Outpatient culdoscopic sterilization: an evaluation
Holtrop, H.R.; Goldsmith, A.; Edelman, D.A.; Porter, C.W.; Sandalls, K.
International Journal of Gynaecology and Obstetrics the Official Organ of the International Federation of Gynaecology and Obstetrics 14(2): 129-136
1976
ISSN/ISBN: 0020-7292 PMID: 10202 DOI: 10.1002/j.1879-3479.1976.tb00581.xDocument Number: 497249
The surgical and early postoperative complications of culdoscopic sterilization were evaluated. Data were analyzed from 3 hospitals one each in Jamaica (180 cases), Lebanon (195 cases and Singapore (150 cases). In all 3 culdoscopy was recently introduced as an outpatient sterilization procedure. Seven (1.3%) of the sterilization procedures could not be completed as a result of complications or failure to visualize both tubes. Technical difficulties occurred in 16.6% of the culdoscopic sterilizations but most were minor and did not require a change in the planned technique of sterilization. Complications at the time of surgery were infrequent, occurring in only 2.1% of the patients. Early postoperative complications and complaints were reported for 20.2% of the patients but most were inconsequential and did not require treatment. Only 5% of the patients were hospitalized postoperatively. Within 1 wk of the sterilization, 90.1% of the patients had resumed their normal activities. The results of the study demonstrate that there is a place for culdoscopy in outpatient sterilization programs.
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