"To our knowledge, this is the first study aiming at comparing medical outcomes in addition to gynecological outcomes between hysteroscopic and
laparoscopic sterilization," the authors wrote, referring to their own work.
The advantages of
laparoscopic sterilization are mentioned in the following study.
The introduction of
laparoscopic sterilization into the Indian Family Welfare Program has made female sterilization more convenient and less time consuming.
They also observed that acceptance of
laparoscopic sterilization was lesser in house wives than in working women.
It has many potential advantages over
laparoscopic sterilization, including the ability to perform the procedure in an office setting without general anesthesia or abdominal incisions.
of cases Percentage G1 16 37.21% G2 8 18.60% G3 15 34.88% G4 2 4.65% G5 0 -- G6 1 2.32% G7 0 -- G8 1 2.32% Amenorrhea No h/o amenorrhea 1 2.32% <6weeks 3 6.97% 6-8weeks 32 74.4% 8-10weeks 3 6.97% 10-12weeks 4 9.30% Risk factors None 14 32.56% Pelvic inflammatory disease 7 16.28% Abortion 6 13.95%
Laparoscopic sterilization 5 11.63% Previous ectopic pregnancy 5 11.63% IUCD 3 6.97% MTP 2 4.65% Tuberculosis 2 4.65% Tuboplasty 2 4.65% Emergency contraception 1 2.32% Previous cesarean 1 2.32% Table 3: Clinical features and management of Ectopic pregnancy Clinical features No.
NO SURGERY TOTAL NUMBER 1
Laparoscopic sterilization 36 2 Diagnostic laparoscopy +/- ([dagger]) LOD 59 3 Rupture Ectopic 17 4 Dermoid cystectomy 13 5 Benign ovarian cystectomy 37 6 Endometriosis 12 7 [?] LAVH 111 TOTAL 285 [?] LAVH-Laparoscopy Assisted Vaginal Hysterectomy [dagger] LOD-Laparoscopic Ovarian Drilling Table 2: Trend of hysterectomies and other laparoscopic surgeries (September 2011--June 2013) S.No Surgery 2011 2012 2013-Jan to June 1.
For a combined
laparoscopic sterilization and endometrial ablation, costs would be higher because of the need for anesthesia and an ambulatory surgical facility.
"The
laparoscopic sterilization will be a procedure of the past or used in very selected cases."
She had undergone
laparoscopic sterilization 6 year back.
Compared with existing
laparoscopic sterilization methods, hysteroscopic sterilization was seen as a less invasive office procedure that could be performed more cost-effectively under local anesthesia, with very high efficacy, if successful.