Female Sterilization by Mini-laparotomy

 The minilaparotomy technique for female sterilization is discussed.  Preoperative, operative, and postoperative procedures, and the use of anesthesia, are reviewed. Minilaparotomy can be used with any method of tubal occlusion, but the Pomeroy or modified Pomeroy ligation technique, the Madlener technique,  excision of the ampullary portion of the tube, or electrocautery are the methods usually used. The contraindications to minilaparotomy are essentially the same as those for other female sterilization procedures. The incidence of complications  reported for 2800 procedures performed by 112 surgeons at 50 different locations in Thailand ranged from .4-1%. Organization that may be contacted for information on a "minilap" kit, centers for training in minilaparotomy, and funding sources  for research on the value of the procedure are list.

Johns Hopkins Bloomberg School of Public Health,Center for Communication Programs,Population Information Program