Interval sterilization standard minilap vs modified minilap
Vivatpatanakul, K.; Kaewsuk, O.; Sinchai, W.; Niyomwan, V.; Amatayakul, A.; Sentrakul, P.
Advances in Contraceptive Delivery Systems 6(3-4): 185-196
1990
ISSN/ISBN: 1012-8689 Document Number: 294152
The standard minilap technique for interval female sterilization may cause several problems for less experienced operators: bleeding from the incision and injury to urinary bladder, uterus and rectum. A safe/simple technique has been developed in Chulalongkorn Hospital in Bangkok (Thailand). The abdominal incision be made 1/3 - 1/2 above symphysis pubis, in the lower abdomen and using a pair of sponge forceps holding 3 folded 4x4" guazes as a uterine elevator instead of the Hulka clamp. This technique, easy to be performed by less experienced operators, gives a wide margin of safety in community hospitals. A study of two randomized groups (31 volunteers) was conducted: standard minilap vs. the modified minilap. There was no statistical difference in the time taken to successfully complete the operations. With the standard procedure, there were troublesome bleeding at the abdominal incision and at the cervix after removal of the Hulka clamp. There were no significant problems or complications with the modified technique.