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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
8
|
| pubmed:dateCreated |
1973-5-24
|
| pubmed:keyword |
http://linkedlifedata.com/resource/pubmed/keyword/ANESTHESIA,
http://linkedlifedata.com/resource/pubmed/keyword/Colpotomy,
http://linkedlifedata.com/resource/pubmed/keyword/Family Planning,
http://linkedlifedata.com/resource/pubmed/keyword/Female Sterilization,
http://linkedlifedata.com/resource/pubmed/keyword/Gynecologic Surgery,
http://linkedlifedata.com/resource/pubmed/keyword/Postoperative Procedures,
http://linkedlifedata.com/resource/pubmed/keyword/Preoperative Procedures,
http://linkedlifedata.com/resource/pubmed/keyword/Sterilization, Sexual,
http://linkedlifedata.com/resource/pubmed/keyword/Surgery,
http://linkedlifedata.com/resource/pubmed/keyword/Treatment,
http://linkedlifedata.com/resource/pubmed/keyword/Tubal Ligation,
http://linkedlifedata.com/resource/pubmed/keyword/Tubal Occlusion,
http://linkedlifedata.com/resource/pubmed/keyword/Urogenital Surgery,
http://linkedlifedata.com/resource/pubmed/keyword/Vaginal Approach
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:status |
MEDLINE
|
| pubmed:month |
Oct
|
| pubmed:issn |
0019-5847
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:day |
16
|
| pubmed:volume |
59
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
362-5
|
| pubmed:dateRevised |
2004-11-17
|
| pubmed:otherAbstract |
PIP: The salient points regarding a simplified technique for female sterilization by postcolpotomy are described. The technique has been used for vaginal ligation of the tube at N.R.S. Medical College, Calcutta, India, in over 200 cases with follow-up. The cases involved women who had 3 or more children. Those with tubo-ovarian masses or any pelvic pathology were excluded. It was more convenient to operate in the first 1/2 of the menstrual cycle. Preoperative preparation included shaving and antiseptic measures. Gas and oxygen anesthesia is preferable. No special instruments are required to perform the operation except an angled forcepts and a vaginal retractor. The lithotomy position is employed. A posterior vaginal speculum is inserted and the posterior lip of the cervix is held with a pair of volsellum and the cervix is pulled up to expose the posterior vault of vagina. A transverse incision is placed on the vaginal wall covering the cervix well below the external os at the level of pouch of Douglas. The vaginal mucous membrane is pushed downwards with gauze until the fold of peritoneum is exposed. The peritoneal fold is held with peritoneal forceps and it is opened with a transverse cut with a pair of scissors. The vaginal retractor is then introduced through the incision and the vaginal speculum is removed. On manipulating the retractor, the uterus and pelvic organ are exposed and seen well. The ovary on either side is seen either posteriorly or laterally and with the angled forceps, the ovary is brought down and the corresponding tube is easily found. The tube is held, clamped, and cut at the lateral part and tied with unabsorbable silk sutures on either side. The procedure is repeated on the other side so that both the tubes are cut and tied. The tubes are then pushed inside and the peritoneum and the vaginal mucous membrane are sutured separately with a continuous cat gut suture. The operation takes 5-10 minutes. Patients are usually discharged after 24 hours and advised on the importance of avoiding vaginal infection. This method is particularly suitable for mass programs.
|
| pubmed:meshHeading | |
| pubmed:year |
1972
|
| pubmed:articleTitle |
Vaginal sterilisation--a simplified technique by postcolpotomy.
|
| pubmed:publicationType |
Journal Article
|