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Many gynecologist have performed the various timing of laparoscopic sterilization including in non-pregnant, postabortal and postpartum period. Here we have studied differential aspects of approaching in the lapaaroscopic sterilization comparing period (31 cases). the study was conducted at Department Obstetric-gynecology, Korea university medical School in period of 31 months from May, 1974 to cecember, 1976. 1. Most popular age group for the postabortal cases were in age of 30 to 34 years and the postpartum cases seem to be younger than postabortal cases as shown age of 25 to 29 years. 2. Number of living children regardless of parity were mostly with 3 kids. 3. There were no history of induced abortion in the group of postpartum patients but the group of the postabortal patients showed 21.4% have had a abortion and 14.6% with history of more than 6 induced abortion. 4, Majority cases of educational back ground showed in 47.3% of middle school. 5. There were no history of contraception in 54.4% for the postabortal group. 6. It has been knoun as contraindicated laparoscopic procedure with history of abdominal laparotomy. However, our cases of postabortal patients showed 26 cases had laparotomy previously, mostly, for the appendectomy(50%). 7. Induced abortion were performed performed by the way of menstrual regulation in early pregnancy and suction curettage in first trimester of pregnancy if uteri was larger than 7-8 weeks of gestatiomal size. 8. Six cases of perineoplasty were done coincidentaly sith alparoscopic sterilization. 9. the anesthesia for the prodedure were done with pethidine 100mg plus diazepam 10mg intravenously in 77.6% (184 cases) 10. the 93.5% of sterilization were done by electro-cauterization with cutting method and only 6.5% performed by cold technique using Silastic bands. 11. The 93.5% of sterilization were cone by electro-cauterization with cutting method and only 6.5% performed by cold technique using Silastic bands. 12. It took less than 15 minutes to complete laparoscopic tubal sterilization in 82.5% for postabortal cases and 16 to 20 minute in (45.2%) for postpartum. 13. Postoperative observation in the hospital were required 2-4 hours in 64.1% and longest one required 2-6 days in 8 cases (3.9%) of postabortal patients. 14. Tubal findings on laparoscopic sterilization appeared normal in 84.0% (173 cases) for the postabortal group and engorged in 77.4% (24 cases) for the postpartum. 15. As the complications, 2 cases of mesosalpingeal hemorrhage, 3 cases of miner trauma in uterus and 1 cases of omentum protrusion through incision were encountered.
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