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[Operative complications of laparoscopic tubal sterilization with Bleier clips (author's transl)].

Abstract

The operative complications of 1613 laparoscopic tubal sterilization with Bleier clips were evaluated in a prospective study at the Stadtkrankenhaus Offenbach/M from March 1978 to July 1981 (1239 interval and 374 postabortal procedures; two-puncture technique under general endotracheal anaesthesia). No major complications requiring laparotomy occurred. Minor intraoperative complications were observed in 8.4% of cases. Clip-related problems were encountered in 1.9% (slight tubal or mesosalpingeal bleeding). Other complications included haemorrhage at the puncture site (2.4%), preperitoneal emphysema (1.8%) and uterine perforation during curettage (1,6%). Technical difficulties were recorded in 8,4% of sterilizations; in 6.6% more than one clip per tube was placed to effect complete tubal occlusion. Adnexal pathology prohibited bilateral clip application in 4 women (0.3%). Postoperative complications were negligible. No pregnancies have yet been reported during a mean follow-up period of 17 months. A successful refertilization procedure was performed on one patient. It is concluded that this technique represents a commendable alternative to convention methods of tubal sterilization due to its low operative morbidity, acceptable contraceptive safety and potential reversibility.

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  • Publisher Full Text
  • Authors

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    Source

    Geburtshilfe und Frauenheilkunde 42:5 1982 May pg 379-84

    MeSH

    Abortion, Legal
    Adolescent
    Adult
    Female
    Humans
    Intraoperative Complications
    Laparoscopy
    Middle Aged
    Prospective Studies
    Sterilization Reversal
    Sterilization, Tubal

    Pub Type(s)

    English Abstract
    Journal Article

    Language

    ger

    PubMed ID

    6213443

    Citation

    TY - JOUR T1 - [Operative complications of laparoscopic tubal sterilization with Bleier clips (author's transl)]. AU - Schneller,E, AU - Felshart,K, AU - Fischmann,S, AU - Schwartz,U, AU - Bruntsch,K H, PY - 1982/5/1/pubmed PY - 1982/5/1/medline PY - 1982/5/1/entrez KW - Bleeding KW - Clips KW - Endoscopy KW - Equipment And Supplies KW - Evaluation KW - Examinations And Diagnoses KW - Family Planning KW - Female Sterilization KW - Gynecologic Surgery KW - Interval Sterilization KW - Laparoscopy KW - Physical Examinations And Diagnoses KW - Postabortion KW - Prospective Studies KW - Research Methodology KW - Reversibility KW - Sterilization, Sexual KW - Studies KW - Surgery KW - Surgical Equipment KW - Treatment KW - Tubal Occlusion KW - Urogenital Surgery KW - Uterine Perforation SP - 379 EP - 84 JF - Geburtshilfe und Frauenheilkunde JO - Geburtshilfe Frauenheilkd VL - 42 IS - 5 N2 - The operative complications of 1613 laparoscopic tubal sterilization with Bleier clips were evaluated in a prospective study at the Stadtkrankenhaus Offenbach/M from March 1978 to July 1981 (1239 interval and 374 postabortal procedures; two-puncture technique under general endotracheal anaesthesia). No major complications requiring laparotomy occurred. Minor intraoperative complications were observed in 8.4% of cases. Clip-related problems were encountered in 1.9% (slight tubal or mesosalpingeal bleeding). Other complications included haemorrhage at the puncture site (2.4%), preperitoneal emphysema (1.8%) and uterine perforation during curettage (1,6%). Technical difficulties were recorded in 8,4% of sterilizations; in 6.6% more than one clip per tube was placed to effect complete tubal occlusion. Adnexal pathology prohibited bilateral clip application in 4 women (0.3%). Postoperative complications were negligible. No pregnancies have yet been reported during a mean follow-up period of 17 months. A successful refertilization procedure was performed on one patient. It is concluded that this technique represents a commendable alternative to convention methods of tubal sterilization due to its low operative morbidity, acceptable contraceptive safety and potential reversibility. SN - 0016-5751 UR - https://www.unboundmedicine.com/medline/citation/6213443/[Operative_complications_of_laparoscopic_tubal_sterilization_with_Bleier_clips__author's_transl_]_ L2 - http://www.thieme-connect.com/DOI/DOI?10.1055/s-2008-1036780 ER -