Faculty Collaboration Database

Risk factors for complications of interval tubal sterilization by laparotomy. Obstet Gynecol 1983 Aug;62(2):180-4

Date

08/01/1983

Pubmed ID

6866361

Scopus ID

2-s2.0-0020572136 (requires institutional sign-in at Scopus site)   20 Citations

Abstract

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.

Author List

Layde PM, Peterson HB, Dicker RC, DeStefano F, Rubin GL, Ory HW

Author

Peter M. Layde MS, MD Emeritus Professor in the Emergency Medicine department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Abdomen
Adolescent
Adult
Diabetes Complications
Female
Humans
Laparotomy
Pelvic Inflammatory Disease
Pelvis
Postoperative Complications
Risk
Smoking
Sterilization, Tubal