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Objective . To evaluate the safety and efficacy of Keyless Abdominal Rope-Lifting Surgery (KARS), for tubal sterilization procedures in comparison with the conventional CO 2  laparoscopy.  Material and Methods . During a one-year period, 71 women underwent tubal ligation surgery. Conventional laparoscopy ( N  = 38) and KARS ( N  = 33) were used for tubal sterilization. In KARS, an abdominal access pathway through a single intra-abdominal incision was used to place transabdominal sutures that elevated the abdominal wall, and the operations were performed through the intraumbilical entry without the use of trocars. In CO 2  laparoscopy, following the creation of the CO 2  pneumoperitoneum a 10 mm trocar and two 5 mm trocars were introduced into the abdominal cavity. Tubal sterilizations were performed following the creation of the abdominal access pathways in both groups. The groups were compared with each other.  Results . All operations could be performed by KARS without conversion to CO 2  laparoscopy or laparotomy. The mean operative time of the two groups was not significantly different ( P  > 0.05). Intra- and postoperative findings including complications, bleeding, and hospital stay time did not differ between groups ( P  > 0.05).  Conclusion . KARS for tubal sterilization seems safe and effective in terms of cosmesis, postoperative pain, and early hospital discharge.

the scientific world journal/thescientificworldjournal

Comparison of Tubal Sterilization Procedures Performed by Keyless Abdominal Rope-Lifting Surgery and Conventional CO<sub>2</sub>Laparoscopy: A Case Controlled Clinical Study

Comparison of Tubal Sterilization Procedures Performed by Keyless Abdominal Rope-Lifting Surgery and Conventional CO2Laparoscopy: A Case Controlled Clinical Study

Comparison of Tubal Sterilization Procedures Performed by Keyless Abdominal Rope-Lifting Surgery and Conventional CO₂Laparoscopy: A Case Controlled Clinical Study