Interval Female Sterilization : Standard Minilap vs a New Modified Minilap Technique

Abstract

Objective to introduce a new modified minilap technique for female sterilization and to compare the operative time, difficulty and complication with those of the standard minilap method.

Subjects Thirty-one multiparous women requesting interval female sterilization, were randomly assigned (16 in the standard and 15 in the modified minilap technique).

Main outcome measures Operative time, difficulty, intra-operative and post-operative complications.

Results There was no statistical difference in the operative time. With the standard procedure, there were bleeding complications at the abdominal incision and at the cervix after removal of the Hulka clamp. There were no significant problems or complications with the modified technique.

Conclusion The modified minilap technique is a safe, rapid procedure which has the same effectiveness as that of the standard minilap with less complications. Further research is needed to address the applicability of the technique in community hospitals.