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Risk factors for complications of interval tubal sterilization by laparotomy


, : Risk factors for complications of interval tubal sterilization by laparotomy. Obstetrics and Gynecology 62(2): 180-184

The complication rate among 282 women undergoing interval tubal sterilization by laparotomy was studied as part of the prospective multicenter Collaborative Review of Sterilization. Using a standard definition of major complications, the overall complication rate was 5.7 per 100 procedures. Women experiencing complications had a significantly lengthened postoperative recovery period before the resumption of normal activities. Important risk factors for complications included diabetes, cigarette smoking, previous abdominal or pelvic surgery, and a history of pelvic inflammatory disease. Women with an initial abdominal incision of 7 cm or longer had three times the complication rate of women with shorter incisions. These results provide objective evidence that, for tubal sterilizations, minilaparotomy (laparotomy with a small abdominal incision) is associated with lower morbidity than is conventional laparotomy.

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Accession: 006345150

PMID: 6866361

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Related references

Jamieson, D.J.; Hillis, S.D.; Duerr, A.; Marchbanks, P.A.; Costello, C.; Peterson, H.B., 2000: Complications of interval laparoscopic tubal sterilization: findings from the United States Collaborative Review of Sterilization. To estimate the risk of intraoperative or postoperative complications for interval laparoscopic tubal sterilizations. We used a prospective, multicenter cohort study of 9475 women who had interval laparoscopic tubal sterilization to calculate the...

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