{
    "abstract": "1084 laparoscopic sterilizations were evaluated in a retrospective study at the Universit\u00e4ts-Frauenklinik Z\u00fcrich. The operative and early postoperative complications and the reliability of the method were analysed and compared to the results in the literature. Based on a cumulative statistical analysis 0,5% intraoperative complications required laparotomy, the main indications being haemorrhages and bowel injuries. Failed attempts were encountered in one of 150 patients, the main causes of which were adhaesions and difficulties at establishing pneumoperitoneum. The failure rate of the laparoscopic electrocoagulation of the fallopian tube after a long-term follow-up was about 0,5%, 20--25% of these were ectopic pregnancies. The transection of the fallopian tubes did not diminish the pregnancy rate, but the risk of bleeding was considerably higher with this technic. Concurrently performed therapeutic abortion or preceeeding laparotomy did not increase the operative complication rate.\nA study of 1084 women who underwent laparoscopic sterilization by electrocoagulation is presented. 65% were interval sterilizations, 35% were performed after an induced abortion. Bleeding was the most frequent intraoperative complication (11.4%) and was significantly more frequent among patients whose Fallopian tubes were divided after electrocoagulation. In 10 cases, a laparotomy had to be performed; in 9 of these cases intraoperative complications, mainly intraperitoneal growths, made the laparotomy necessary. Although 9.7% of the patients had previously undergone laparotomy and 8.6% had had adnexitis, intraperitoneal growths resulting from these factors prevented laparoscopic sterilization in only 1 patient in each case. Pregnancy occurred in 9 of the patients (.83%) an average of 25.1 months after the operation. In 3 of these cases an ectopic pregnancy was observed. In 3 cases, method failure was responsible for the pregnancy, in 2 cases an operative error. The frequency of intraoperative bleeding was not significantly higher for women who had previously had adnexitis, undergone laparotomy, or who underwent post-abortion sterilization.",
    "authors": [
        {
            "affiliation": null,
            "firstname": "U",
            "initials": "U",
            "lastname": "B\u00e4nninger"
        },
        {
            "affiliation": null,
            "firstname": "J",
            "initials": "J",
            "lastname": "Kunz"
        },
        {
            "affiliation": null,
            "firstname": "W E",
            "initials": "WE",
            "lastname": "Schreiner"
        }
    ],
    "conclusions": null,
    "copyrights": null,
    "doi": null,
    "journal": "Geburtshilfe und Frauenheilkunde",
    "keywords": [
        "Adhesions",
        "Bleeding",
        "Burns",
        "Clinical Research",
        "Contraception",
        "Contraception Failure",
        "Contraceptive Effectiveness",
        "Diseases",
        "Electrocoagulation",
        "Endoscopy",
        "Examinations And Diagnoses",
        "Family Planning",
        "Female Sterilization--complications",
        "Gynecologic Surgery",
        "Laparoscopy",
        "Laparotomy",
        "Physical Examinations And Diagnoses",
        "Research Methodology",
        "Signs And Symptoms",
        "Sterilization, Sexual",
        "Surgery",
        "Surgical Error",
        "Treatment",
        "Use-effectiveness"
    ],
    "methods": null,
    "publication_date": "1979-05-01",
    "pubmed_id": "156665",
    "results": null,
    "title": "[Laparoscopic sterilization with electrocautery: complications and reliability (author's transl)].",
    "xml": "<Element 'PubmedArticle' at 0x788504c63bf0>"
}