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The incidence of ectopic pregnancy was reported to be increased recently. This study was taken to evaluate the clinical and statistical nature of ectopic pregnancy following laparoscopic tubal sterilization. An analysis of 19 patients of ectopic pregnancy following laparoscopic tubal sterilization which were treated at Dae Han General Hospital during the period from January 1987 to June 1990 was done. Followings were the results summarized: 1. Among the 64 cases of ectopic pregnancy during the period, 19 cases(29.7%) were found to occur after laparoscopic tubal sterilization. 2. The mean age was 32.7 years (range from 23 to 42) and the most prevalent age group was 31 to 35 years. 3. The mean number of gravidity and living children were 3.6 and 2.2 respectively. 4. Lower abdominal pain was the single most common presenting symptom (94.7%), with abnormal vaginal bleeding (78.9%). 5. The mean gestational period was about 6.7 weeks. 6. The mean interval between laparoscopic tubal sterilization and treatment was 58.6 months, with the shortest interval being 5 months and the longest 144 months. 7. The methods of sterilization were mostly electrical cauterization (18 cases) and the rest was silastic band application (1 case). 8. The location of ectopic pregnancy were in the fimbrial portion (5.3%), ampullary portion (47.4%), isthmic portion (15.8%), interstitial portion (21.0%), and uterine cornual portion(10.5%). 9. The mean intraperitoneal blood loss was 1300 CC and mean blood transfusion volume was 2.1 pints. 10. The operation methods were bilateral salpingectomy in 10 patients, unilateral salpingo-oophorectomy with contralateral salpingectomy in 3 patients, unilateral salpingo-oophorectomy in 2 patients, cornual wedge resection in 2 patients, unilateral salpingectomy in 1 patient, and unilateral salpingectomy with contralateral tubal ligation in 1 patient.
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