Worldwide, tubal sterilization is the most commonly chosen form of contraception by women who have completed their desired childbearing. In the United States, it is chosen by more married or formerly married women tha...
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Worldwide, tubal sterilization is the most commonly chosen form of contraception by women who have completed their desired childbearing. In the United States, it is chosen by more married or formerly married women than any other method. Sterilization has enjoyed increasing popularity since the 1950s, primarily owing to the technologic advances and increasing social acceptance. Improvements in technique and technology have rendered it a safe, effective, and cost-efficient outpatient procedure. This makes tubal sterilization a particularly attractive choice in the managed care setting and in developing countries, where access to medical care occurs most frequently in rural clinic settings.
The growing number of women requesting interval sterilization (apart from term delivery or abortion procedures) necessitates the re-evaluation of traditional surgical procedures. A total of 800 women, the 1st 400 wome...
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The growing number of women requesting interval sterilization (apart from term delivery or abortion procedures) necessitates the re-evaluation of traditional surgical procedures. A total of 800 women, the 1st 400 women undergoing culdoscopic and laparoscopic tubal sterilization procedures at Siriraj Hospital in Bangkok, Thailand, evaluate the appropriateness of the 2 sterilization procedures for use in interval sterilization programs. No serious operative complications occurred in either group. The rate of postoperative complications was considerably higher for the culdoscopic group than for the laparoscopic group. Hospitalization was required for only a small percentage of the patients and most had resumed their normal activities within 2 days of the operation. Both procedures are effective and may be safely performed on an outpaitent basis without general anesthetics and with minimal discomfort for the patients.
Elective cesarean sections performed on the obstetric service at the University of Arkansas Medical Center were reviewed for the period January 1, 1970, through December 31, 1974. The purpose of the review was to comp...
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Elective cesarean sections performed on the obstetric service at the University of Arkansas Medical Center were reviewed for the period January 1, 1970, through December 31, 1974. The purpose of the review was to compare operative and postoperative complications of cesarean section, cesarean section and tubal ligation, and cesarean section and elective hysterectomy. A total of 1,255 cesarean sections were performed of which 207 (17 per cent) were associated with tubal ligation and 242 (18 per cent) with hysterectomy. Elective cesarean hysterectomies were performed for elective sterilization (68 per cent), for medically indicated sterilizations (11 per cent), or for definitive treatment of uterine pathology (21 per cent). All cesarean sections were obstetrically indicated with the exception of 34 primary cesarean hysterectomies performed as definitive treatment of carcinoma in situ of the cervix. The operative procedures were compared in regard to the following characteristics or complications: operating time; incidence of blood transfusions, urinary tract injuries, postoperative bleeding, febrile morbidity, and other postoperative complications; and postoperative hospital days.
The methods which seek to close the tubes by tissue necrosis may be responsible for subsequent pathologic disorders. These sequelae often explain postoperative repeat uterine pregnancy, ectopic gestation, and other se...
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The methods which seek to close the tubes by tissue necrosis may be responsible for subsequent pathologic disorders. These sequelae often explain postoperative repeat uterine pregnancy, ectopic gestation, and other serious complications. In addition to Uchida sterilization, the Uchida fimbriectomy is recommended for use in the immediate postpartum period and at cesarean section because of its many advantages.
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