Aral K, Zorlu C G, Cobanoglu O, Oguz S, Yakupoglu H, Gokmen O
Dr Zekai Tahir Burak Women's Hospital, Ankara, Turkey.
Adv Contracept. 1993 Dec;9(4):313-8. doi: 10.1007/BF01983209.
Laparoscopic tubal sterilization was performed on 179 women using general anesthesia, and tubal sterilization via mini-laparotomy was performed in 52 cases using local anesthesia. The patients ranged in age from 25 to 41 years, with 73.2% between 31 and 40 years. The mean operative time of laparoscopy and mini-laparotomy were 14.2 and 11.6 minutes, respectively. Both the laparoscopy group and the mini-laparotomy group were found to be similar with regard to age, gravidity and number of abortions. Pelvic inflammatory disease (PID) was not observed in any patient during the follow-up period (3 months). Two wound infections were detected within the first week following mini-laparotomy, and these were treated on an out-patient basis by relevant antibiotics. Among the 179 patients in whom laparoscopic tubal sterilization was performed, tubal rupture occurred in 3 cases (1.67%) which were electrocoagulated easily, and unplanned laparotomy was performed in a patient in whom bowel injury during mini-laparotomy was suspected.
179名女性接受了全身麻醉下的腹腔镜输卵管绝育术，52例患者在局部麻醉下通过小切口剖腹术进行输卵管绝育术。患者年龄在25至41岁之间，73.2%的患者年龄在31至40岁之间。腹腔镜手术和小切口剖腹术的平均手术时间分别为14.2分钟和11.6分钟。腹腔镜组和小切口剖腹术组在年龄、妊娠次数和流产次数方面相似。随访期间（3个月）未观察到任何患者发生盆腔炎（PID）。小切口剖腹术后第一周内发现2例伤口感染，通过相关抗生素进行门诊治疗。在179例行腹腔镜输卵管绝育术的患者中，3例（1.67%）发生输卵管破裂，易于电凝处理，1例小切口剖腹术时怀疑肠道损伤的患者进行了非计划剖腹手术。
