Question

Uteroperitoneal fistula a rare case of failure of stabilization

Answer 1

Surgical approaches for female sterilization include laparoscopy, hysteroscopy, microlaparoscopy, laparotomy (concurrent with cesarean delivery), minilaparotomy, and vaginal approaches. Although minilaparotomy is the most common approach worldwide, laparoscopy is used most commonly for interval procedures in the United States. Hysteroscopic procedures are rapidly gaining popularity. For postpartum procedures, although some studies describe successful use of laparoscopy, the subumbilical minilaparotomy is used most commonly in the United States and worldwide. Vaginal colpotomy approaches are rarely used because they are associated with a higher incidence of infection and can no longer be recommended.

Local anesthesia is used for more than 75% of sterilizations worldwide. Although some US providers use local anesthesia for laparoscopic sterilization, general anesthesia(for interval procedures) and regional anesthesia (for postpartum procedures) are most common.