Female sterilisation

There has been a rapid increase in the number of female sterilisations performed over the last 6 years. The reasons for this together with the indications for sterilisation are discussed. The different forms of sterilisation operation currently performed are discussed and an attempt made to evaluate the relative merits of each.

A series of 810 laparoscopic sterilisations performed in the Western Infirmary, Glasgow, is presented and the results discussed. The view is expressed that this form of sterilisation may well become the method of choice in most gynaecological units within the next 5 years.

Postpartum laparoscopy for sterilization

The necessity of performing sterilization in the immediate postpartum period is evident in many areas of the world. Tubal ligation via laparotomy may extend the postpartum stay and entail a certain morbidity. We have applied the technique of tubal coagulation and or resection via laparoscope to a large series of patients shortly after parturition. The technique is readily acquired, complications have been minimal, and in most instances, postpatum stay is not extended. A portion of these patients were followed by hysterosalpingogram approximately 3 months postpartum at which time tubal occlusion was demonstrated. We conclude that this procedure is not contraindicated in the postpartum period.