Laparoscopic sterilization camps--a retrospection
Mehta, P.V.
Journal of Obstetrics and Gynaecology of India 34(2): 191-193
1984
ISSN/ISBN: 0971-9202 PMID: 12314455 Document Number: 422257
Since the Indian introduction of mass rural laparoscopic sterilization camps the procedure has proved highly acceptable, economical, speedy, and safe. Despite many couples requiring sterilization, disturbing trends have emerged in many states relating to the organization of the camps, selection of cases, pre-operative preparation, adequate experience of the operating surgeon, inadequate drugs, improper maintainence, malfunctioning of equipment, and post-operative care and follow-up. During the initial phase, it was relatively easy to draw large crowds of self-motivated acceptors; the management of these crowds in small places left much to be desired. Camps are arranged without adequate publicity through the various media. The art of laparoscopy being a highly skilled technic, Steptoe has recommended at least 1000 procedures and Phillips 500 procedures in hospitals under expert supervision, before a laparoscopist can operate independently in camps. The equipment should be properly maintained and enough spares should be at hand. For the desired projection to stabilize the birth rate at 25/1000, the sterilization camps approach through quick, safe, economical, and easy laparoscopic sterilization technic is not a dream but a reality to be experienced. The vastness of the work requires many well trained doctors in this technic, who should be given exemption from income tax if they serve the rural population; thus, the brain drain will stop, and many emigrating doctors will be able to make a living. Overall, the commitment of policy makers to satisfy the masses who want to participate in this successful program is the only hope to save the bleak future.