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  • Title: Prior abdominal, pelvic surgery is factor in unintended laparotomy.
    Author: Franks AL.
    Journal: Contracept Technol Update; 1984 Aug; 5(8):104-5. PubMed ID: 12266311.
    Abstract:
    Data from the Collaborative Review of Sterilization indicate that women with a history of abdominal or pelvic surgery are 10 times more likely than women without such a history to experience unintended laparotomy associated with laparoscopic tubal sterilization. The data analysis included 5068 women ages 15-41 years who were scheduled for laparoscopic sterilizations at 11 institutions in 1978-82. Of these, 52 (1%) underwent unintended laparotomy. 40 of these procedures were performed to complete a sterilization procedure and 12 were performed to manage complications. Unintended laparotomy occurred most frequently among women who were more than 20% over their ideal body weight, who were black, who underwent general anesthesia, and for whom electrocoagulation was used for tubal occlusion. 21% of the women had histories of previous pelvic or abdominal surgery, 35% had histories of IUD use, and 10% had histories of pelvic inflammatory disease. The last 2 risk factors were not statistically significant, however. These statistics suggest that about 1200 US women with histories of pelvic or abdominal surgery will undergo unintended laparotomy each year. The procedure is considered undesirable because it involves anesthesia, thereby increasing the risk of morbidity. It is recommended that physicians discuss these risk factors with patients during counseling.
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