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[Surgical technic of sterilization].

Authors
Type
Published Article
Journal
Zentralblatt für Gynäkologie
Publication Date
Volume
94
Issue
52
Pages
1811–1815
Identifiers
PMID: 4651923
Source
Medline
Keywords
License
Unknown

Abstract

Sterilization is a final, definitive form of preventing conception for family planning. The 1966-1970 statistics for the Hamburg-Altona Frauenklinik show an increase in the number of sterilizations versus abortions; the number of expert evaluations approving surgical sterilization also show a statistical increase. Apart from the legal or ethical questions, medical problems such as varicosities and intolerance to ovulation suppressants as well as multiparity are indications for such a procedure. There 3 main techniques: sterilization by the abdominal approach (e.g., tubal ligation); by the vaginal approach (e.g., with partial resection after Labhardt and Pomeroy's method); and postpartum sterilization. The third method can be further distinguished as following a cesarean section or after a successful vaginal delivery. The method of choice, with the fewest complications, is the postpartum one after normal vaginal delivery using a subumbilical incision with subserous tubal resection after Labhardt. This procedure is technically simple and is virtually completely without postoperative complications.

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