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Anesthesia for laparoscopy.

Laparoscopic sterilization may be performed under local or general anesthesia. Local anesthesia is recommended for developing countries due to lack of facilities but is also used in the U.S. due to its low complication rates and rapid turnover on an outpatient basis. General anesthesia is either inhalation or intravenous. The anesthetic procedure and technique is detailed. Contraindications include obesity and cardiac or pulmonary disease. Most frequent complications are respiratory difficulties cardiac arrhythmias bowel perforations and hemorrhage.