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  • Title: Intraoperative complications of interval female sterilization in Ramathibodi Hospital during 15 years period (1970-1984).
    Author: Sugkraroek P, Intaraprasert S, O-Prasertsawat P, Chaturachinda K.
    Journal: J Med Assoc Thai; 1988 Mar; 71 Suppl 1():51-4. PubMed ID: 3418268.
    Abstract:
    Complication rates were compared for minilap and laparoscopic interval sterilization at Ramathibodi Hospital, Mahidol University, Bangkok, from 1970-1984. There were 6897 minilap and 7524 laparoscopic sterilizations during the period. Total complication rates were 0.74 and 0.72% respectively, 105 women all together. Serious complications were more common with laparoscopy, including 2 deaths due to cardiac arrest related to anesthesia. Other complications were adnexal injuries in 17, 0.22% (0.04% of minilap); trocar injuries to uterus, retroperitoneum or mesenteric vessel (5 total); skin burn in 1; bladder injuries in 2; and bowel injuries in 4. Minilaparotomy occasioned more uterine perforations related to mobilizing the uterus, and bladder injuries occurring during entering the abdomen. The rate of bowel injury was similar, 4 cases each, but minilap procedures involved bowel incision, while laparoscopy involved thermal burns, 1 of which was not recognized at the time. Minilaparotomy is considered simpler in terms of equipment and training required, and thus more appropriate for use outside major centers.
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