Publication:

An experience with double puncture laparoscopy in sterilization camps

Background For tubal sterilization the common technique preferred in sterilization camps by government institutions is minilap (modified Pomeroy’s) technique as it is safe and has minimal complications. There are few published articles in India where Double Puncture Laparoscopic technique is used in sterilization camps as it needs expertise. In the present study we would like to share our experience with double puncture laparoscopy (DPL) technique in sterilization camps. The aim of the study is to assess the failure rates and complications of double puncture laparoscopy (DPL) technique in sterilization camps.

Methods Laparoscopic sterilization camps were held in urban, rural and tribal areas from April 2010 to March 2015 and a total of 9,218 cases were done .The failure rates and complications were recorded and analyzed.

Results Failure rate was seen in 0.13% of cases. Technical failure was mainly due to adhesions (0.06%) followed by pelvic inflammatory disease (0.03%).The commonest complication encountered was infection at the port site (0.9%)and bleeding from port site(0.66%).

Conclusions Laparoscopic sterilization by falope rings is getting more and more popular in our country. A camp approach is the best way of managing large number of women requiring sterilization in rural and tribal areas. Camp organization by a person experienced in laparoscopy and management of any complications that may arise makes the camps a safe alternative to modified Pomeroy’s.