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December 4, 1981

Hospitalization for Tubal Sterilization

JAMA. 1981;246(22):2576. doi:10.1001/jama.1981.03320220028013

To the Editor.—  The article by Peter M. Layde, MD, et al (1981;245:714) warrants further comment and an update of the subject.Substantial reductions in the length of stay (LOS) after sexual tubal sterilization (STS) have been achieved in the past five years since those described by Layde et al; many contemporary facilities have now settled on a stay of four to six hours postoperatively as the standard of therapy. In achieving this, the laparoscope was but one of the technical innovations contributing to the reduction rather than its cause; other important changes were in progress in the last ten years that brought about the short LOS.First, favorable experience with STS by family planners in India and Southeast Asia during the early 1970s performed in free-standing clinics and "tubectomy" camps used little or no analgesia or anesthesia, and minimal postoperative supervision was needed for safe recovery.1 Later, Lubell