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[Laparoscopic sterilization with the Hulka-Clemens clip. Review of 215 cases (author's transl)].

Authors
Type
Published Article
Journal
Journal de Gynécologie Obstétrique et Biologie de la Reproduction
0368-2315
Publisher
Elsevier
Publication Date
Volume
9
Issue
2
Pages
253–259
Identifiers
PMID: 7451899
Source
Medline
Keywords
License
Unknown

Abstract

215 women, 20-45 years of age, underwent tubal sterilization by laparoscopic application of the Hulka-Clemens clip. 123 operations (Series I) were performed in a gynecological ward and 92 cases (Series II) in a university clinic all under general anesthesia. In Series I, the 65 operation performed with a single incision took 10-15 minutes; the 58 performed with a double incision took 20-25 minutes. The double incision operations performed in series II took 20-45 minutes. A third clip was necessary in 14% of the operations in series I and in 26% in series II. 96% of the cases were without complication in series I (length of hospitalization 24-26 hours), compared to 80.4% in series II (length of hospitalization 48-50 hours). The majority of operative complications were lost clips (9 cases) and in 5 cases of series II, the large ligament was torn. 11.9% of the patients complained of post-opertive pelvic pain. There was 1 pregnancy, and there were 2 cases of tubal permeability. 4.6% of the patients reported menstrual problems, which were treated successfully with progestins.

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