sodium-ethylxanthate and Pain--Postoperative

To determine the frequency of late sequelae after laparoscopic sterilization performed at the time of induced abortion, we compared data on 114 women who underwent induced first-trimester abortion and concurrent laparoscopic sterilization, with 288 women who had sterilization performed at least 3 months after induced abortion. The period of observation was 12-95 months, median 49 months. We found no statistical difference between the groups with respect to failures, low abdominal pain, dyspareunia, change in bleeding pattern, sexual life and regrets. The results of these findings, discussed here, support the practice of performing the combined procedure.. Data on 114 women who underwent induced 1st trimester abortion and concurrent laparoscopic sterilization were compared with data on 288 women who had sterilization performed at least 3 months after induced abortion. The study was done to determine the frequency of late sequelae after laparoscopic sterilization performed at the time of induced abortion. The observation period ranged from 12-95 months (median 49 months) for the post abortion group. Electrocoagulation was used in 85 patients and tubal ring application in 29 patients. For the interval group, the observation period ranged from 12-90 months (median 50 months). Electrocoagulation was used in 212 patients and tubal rings in 76 patients. There was no statistical difference between the 2 groups with respect to median age, age distribution, and number of children prior to sterilization. In the post-abortion group, 42.9% had undergone at least 1 previous legal abortion; in the interval group the figure was 26.4%. The difference was statistically significant. 10 women in the interval group and 5 women in the postabortion group became pregnant after the sterilization. 7.0% of the women in the postabortion group and 4.2% in the interval group reported dyspareunia as a consequence of the operation; the figures were 11.4% and 11.5%, respectively, for abdominal pain. Changes in bleeding pattern after the sterilization procedure were reported by 26.3% in the postabortion group and 37.7% in the interval group. The difference was not statistically significant. 213 women (52.9%) reported no changes in their sexual life. 42.8% reported an improvement and 4.3% a deterioration. 15 women (3.7%) regretted their decision to be sterilized. 12 of these women desired more children, 5 because of remarriage. The remaining women reported sexual frigidity, permanent distress due to changes in menstrual pattern, and a changed attitude to pregnancy as the reason for regret. In sum, except for a trend in the interval group towards fewer failures, there was no significant difference between the 2 groups, and nearly 96% of the women in both groups were satisfied with the operation, despite the fact that 35% of these had had at least 1 of the identified late sequelae.

Topics: Abortion, Induced; Adult; Dyspareunia; Female; Humans; Laparoscopy; Menstruation; Middle Aged; Pain, Postoperative; Postoperative Complications; Sex; Sterilization, Tubal; Time Factors