Operation procedures in female sterilisation

Czech version

Authors: A. Kořenek
Authors‘ workplace: Gynekologicko-porodnické oddělení, Jesenická nemocnice, s. r. o., přednosta MUDr. A. Kořenek, Ph. D.
Published in: Ceska Gynekol 2010; 75(6): 518-520

Overview

Objective:
Review of operation procedures in female sterilisation.

Design:
Review article.

Setting:
Gynecological-Obstetrical Department, Jesenik Hospital.

Conclusion:
Female sterilisation can be done through laparotomy, minilaparotomy, colpotomy, laparoscopy and also through the transcervical approach, which has long been thought to be the optimal method for permanent female sterilization, with tubal access achieved by blind, direct (hysteroscopic) or indirect (radiological) techniques, and occlusion being achieved by chemical, mechanical, or thermal techniques. Tubal occlusion is protect factor for recurrent pelvic inflammatory disease and ovarian cancer. After uneventful pregnancy course and delivery, it does not seem justified to delay the endoscopic sterilization to a later time. Hysteroscopic sterilisation can be performed successfully with a IUD in place. The proportion of major complications was higher in group postpartum sterilisation by minilaparotomy than in interval laparoscopic sterilization unrelated to pregnancy.

Key words:
female sterilisation, hysteroscopy, laparotomy.

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