Laparoscopic sterilization combined with dilation and evacuation up to 18 weeks' gestation.

First-trimester suction curettage abortion performed at the time of laparoscopic sterilization does not increase the morbidity or failure rate of either procedure. No studies have been done to determine the safety of laparoscopic sterilization in association with midtrimester pregnancy termination by dilation and evacuation. Between Jan 1, 1987, and Feb 1, 1988, we performed 21 laparoscopic sterilizations at the time of second-trimester terminations of pregnancy. There were no failed procedures or postoperative complications. With proper instrumentation and surgical skill, laparoscopic sterilization can be performed in this group of patients.