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C Prada

Publications and source records attributed to C Prada.

4 recordsLinked to original sources

Laparoscopic sterilization in the immediate puerperium.

The safety and effectiveness of laparoscopic sterilization with electrocoagulation and separation of the tubes when performed within five days of a normal delivery is evaluated. The majority of patients (53.5%) were sterilized within 36 hours of delivery and were discharged on either the same day or the first post-sterilization day (91.0%). While some form of complications were reported for 9.5 percent of the patients, potentially serious complications occurred for only 2 patients (1.%). Most of the complications were probably unrelated to the laparoscopic procedure. At six months after sterilisation, complications were reported by 2.9 percent of the patients who returned for a follow-up visit. One patient became pregnant 3.5 months after sterilization. The results of this study suggest that performing laparoscopic sterilization in the immediate puerperium does not significantly increase the complication or failure rates of the procedure.

Electrocoagulation

A comparative study of electrocoagulation and tubal rings for tubal occlusion at laparoscopy.

The surgical and early postoperative complications and complaints associated with laparoscopic sterilization using electrocoagulation or tubal rings for tubal occlusion were evaluated in a comparative study. Procedures were randomly assigned to subjects (electrocoagulation to 151 subjects and tubal rings to 148 subjects). Difficulties in carrying out the sterillization procedures occurred more frequently when tubal rings were used (6.1%) than when electrocoagulation was used (2.0%). Rates of complications occurring at the time of surgery were similar for the two procedures. However, one patient in the electrocoagulation group had a bowel burn. Postoperative pelvic and abdominal pain were reported by a significantly higher proportion of the tubal ring cases (32.0%) than electrocoagulation cases (19.4%). It appears that although the incidence of surgical difficulties and pain may be somewhat more frequent with the tubal ring, the avoidance of such potentially serious complications as bowel burns may make femal sterilization by the tubal ring method preferable.

Electrocoagulation

Laparoscopic sterilization immediately after term delivery: a preliminary report.

To evaluate the feasibility and safety of performing laparoscopic sterilization immediately after a normal delivery, 46 patients were studied. All sterilizations were performed within 48 hours of delivery, using a single puncture technique with cautery and separation of the uterine tubes, under a neuroleptanalgesic. A description of the technique, the technical difficulties encountered in performing the procedures and the incidence of complications are presented. The technique, when performed during the early puerperium, is practicable since technical difficulties and the severity and incidence of complications are clinically acceptable. The sterilization procedure did not significantly increase the duration of hospitalization after delivery. Most patients were discharged from the hospital 1 to 2 days after the sterilization.

Adult