Intraoperative complications of interval tubal sterilization – 4 years experience at a teaching hospital

Intraoperative complications of interval tubal sterilization

– 4

years experience at a teaching hospital

B. Dilbaz, D. Akdag, H. Cengiz, S.

Dilbaz, A. Akyunak, A. Haberal

MoH Ankara Etlik Maternity and Women’s Teaching

and Research Hospital, Department of Family Planning, Ankara, Turkey


To evaluate the complications of interval tubal sterilization.

Design and methods

The demographic characteristics, operative technique and intra- and

postoperative complications of 461 consecutive patients who had interval tubal

ligation (ITL) as a day case between 2002-2005 were evaluated. Only 11 patients

had minilaparotomy for ITL whilst the remaining had laparoscopic tubal

coagulation via bipolar cauterization. All the procedures were carried out under

general anaesthesia and cases were followed up for 5 hours and discharged if no

complications occurred. The patients came for follow-up visit one week after

surgery and the operation-site was examined. The cases who were hospitalized or

who had a complication and/or an unplanned laparotomy were analyzed.


The average age, gravidity, parity and number of living children of patients

were 35.1(R:21-51, Sd ± 7.2); 4.6(R:2-9, Sd ± 1.3); 3.3(R:2-7, Sd ± 0.8); 3.2

(R:2-6, Sd ± 0.8) respectively. Sixty-one percent had completed primary school,

23% were illiterate, 8% had secondary school education whilst 8% were high

school graduates. Of the patients only 2 (0.4%) had complications related with

general anaesthesia; one case had bronchospasm and another was diagnosed to have

pseudocholine esterase deficiency. Two cases (0.4%) had bleeding from the

port-site that needed to be cauterized, three cases (0.6%) had meso-salphingeal

and meso-ovarian bleeding that was cauterized. One omental bleeding (0.2%), one

bleeding (0.2%) from the vaginal wall due to a laceration that occurred during

the insertion of the speculum were the other 2 complications.There was only one

(0.2%) intestinal burn that required a laparotomy and segmental resection

followed by end-to-end anastomosis. There was no postoperative complications.

The mortality was nil whilst the morbidity was found to be 2.1% and all the

complications were encountered in patients who had laparoscopic surgery. Apart

from the patient who had intestinal injury the complications were handled

efficiently using the endoscopic technique.

Conclusions Out-patient tubal

ligation is a convenient and safe procedure and implementing endoscopic surgical

techniques is necessary for correction of the complications.

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