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  • Title: Minilaparotomy under local anesthesia for outpatient sterilization: a preliminary report.
    Author: Lee RB, Boyd JA.
    Journal: Fertil Steril; 1980 Feb; 33(2):129-34. PubMed ID: 7353689.
    Abstract:
    An outpatient sterilization program was started at Silas B. Hays Hospital, Fort Ord, California, and later extended to Malcolm Grow USAF Medical Center and the Walter Reed Army Medical Center. From January 1976 to June 1978, two hundred and eight outpatient minilaparotomy Pomeroy tubal ligations were performed under local anesthesia. The minilaparotomy technique, using standard operating room equipment, is described. The average operating time was 31.8 minutes and the complication rate was 2.5%. During the period from January 1976 to June 1978, a series of 208 outpatient minilaparotomy Pomeroy tubal ligations were performed under local anesthesia on an interval basis. The minilaparotomy involves a 3-4 cm transverse incision about 2 fingerbreadths above the pubic symphysis. The major advantage is that it can be performed easily and safely under local anesthesia. In addition, it can be performed with minimal cost, risk and pain in any outpatient clinic. The pre-, post-, and operative procedures for the sterilization patients are described and diagrammed. Following surgery, the patient was observed for 2-4 hours and discharged if no postoperative complications developed. Resumption of normal activities was allowed when the patient was comfortable to do so. Demographic characteristics of the series of patients, previous contraception, and complications encountered are discussed. The average surgical time was 31.8 minutes. The minor complication rate was 2.5%. No major complications occurred.
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