Laparoscopy as an outpatient technique has brought sterilization within the reach of millions of women in the developing countries. A review of the literature indicates that it can be performed easily and safely with the patient under local anesthesia. This report presents the personal experience of the author in the performance of 10,100 laparoscopic sterilizations using the double-puncture technique and a Falope ring applicator on patients gathered in rural sterilization camps in India. Modifications of the standard procedures to suit the camp surroundings and to reduce the operating time are described. Results are described and discussed. There was 1 death (not related to the operation), 1 major complication, and a few minor complications. The method is urged as a valuable one for mass sterilization in Third World countries.
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