Minilaparotomy: an approach to postpartum tubal sterilization.
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Biomedical subjects
Publications and source records attributed to J M Esposito.
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A brief discussion of the physics relating to electrosurgical techniques is given, the complications inherent in this technique when used at laparoscopy are discussed, and the treatment and means of preventing these accidents are reviewed.
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This article discusses a method for endoscopic photography as recommended by Lesesne. He presented his experience with this technique in the field of gastrointestinal endoscopy. This communication reviews his method and shows it also to be applicable to laparoscopy.
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One hundred forty-four patients are studied over an 18 month period. Postpartum and postabortal insertions of intrauterine contraceptive devices using the Lippes Loop and the Dalkon Shield are compared. The age, parity, previous methods of contraception, and marital status of the study group indicated a poorly motivated patient population. Although accidental pregnancy rates and expulsion rates are higher, the technique is considered worth-while in the population studied. Future research should be directed toward improved devices in order to decrease side effects and to increase appeal of the technique to those who will benefit most.
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