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At least 37 records · Page 2Linked to original sources
PubMed1983

Factors influencing the outcome of microsurgical tubal ligation reversals.

Seventy-three patients who underwent a microsurgical tubal reversal were reviewed in an effort to determine what factors influenced outcome. A 64% intrauterine pregnancy rate was achieved 6 months to 4 years postoperatively. There was a 4.4% incidence of ectopic pregnancies in this group. On the basis of a preoperative laparoscopy, no reversals were performed unless a total tubal length of 4 cm or more could be obtained. The final tubal length, the time interval from sterilization to reversal, and the site of reanastomosis did not influence the eventual outcome. The reversals were then evaluated by the type of sterilization procedure performed (Pomeroy, coagulation, falope ring, and Irving). The pregnancy rate was not statistically different in each group. Sterilizations performed by coagulation, however, were only reversible 58% of the time compared to 91% for the noncoagulation procedures because of extensive tubal destruction (p less than 0.001). It also took longer for the coagulation patients to conceive, with the average conception occurring in 13.0 months compared to 6.7 months for the noncoagulation group (p less than 0.001). A higher incidence of ectopic pregnancies occurred in the thermal burn patients as well. The longer interval for conception and the higher ectopic pregnancy rate may represent mucosal damage in coagulation patients beyond the anastomotic site.

Adult↗
PubMed1980

Puerperal laparoscopic sterilization.

One hundred sixty-eight cases of puerperal laparoscopic sterilization are presented. The operative technique, complications, and morbidity are discussed. Intraoperative and postoperative complications occurred in six patients (3.6%). Operative time (21 minutes) and postoperative stay (2.4 days) compared favorably with those of the concurrent series of 148 open postpartum ligations. It was concluded that puerperal laparoscopic sterilization in expert hands is a safe, viable alternative to laparotomy.

Female↗
PubMed1979

Safety of postabortion sterilisation compared with interval sterilisation. A controlled study.

406 women--about one-fifth of those requesting an induced abortion and sterilisation over a thirty-three-month period--volunteered to be allocated randomly to either a concurrent induced-abortion/sterilisation group or a group which was sterilised six weeks after abortion. The abortion-attributable and sterilisation-attributable complication rates of 3.8% and 5.2%, respectively, for the concurrent group did not differ significantly from the 6.7% and 6.9% rates for the interval group. The estimated 2%-10% of women who would have changed their minds must be set against the 4% of women who became pregnant again before being sterilised. Efforts should be made to identify women likely to regret sterilisation.

Abortion, Induced↗
PubMed1979

[The value of irreversible contraception].

8 years after sterilization was in force in GDR it is stated, that this way of female healthy protection was different performed in the varions countries of GDR. The portion of the country Rostock amount to 56,6%. --85,3% of the women were elder than 30 years. 60% of the applicants have had legal abortions. 66,8% of the propositions were based by medical indication. --The rate of complications and failures amount to 0,3%. --By reason of the results it is recommended to regard the sterilization as the adequate method of contraception, if reproduction is finished.

Adolescent↗