Laparoscopic sterilization with the harmonic scalpel

The object of this study was to describe the surgical technique of laparosc opic sterilization with the harmonic scalpel. From April 1995 to July 1997, 30 women 26-41 years old underwent laparoscopic sterilization with the har monic scalpel. The procedure was performed on an outpatient basis. The mean operative time was 7 min. No complications occurred. Postoperative pain wa s minimal. None of these women became pregnant. The harmonic scalpel is a c utting and coagulating energy source, recently adapted to laparoscopic use, which differs from all the other available energy sources. It provides eff ective coagulation and cutting for laparoscopic sterilization, Advantages i nclude less charring and plume, better visualization, less thermal injury, and ease of use.