Tubal ligation by culdoscopy in a simplified surgical procedure: study and follow-up of 214 cases
Bueno, M.
Estudios de Poblacion 3(7-12): 49-55
1978
PMID: 12261362 Document Number: 442773
214 patients, of average age 32 and of median parity 4.5, were sterilized by tubal ligation using a modified Madlener method. The surgical procedures were greatly helped by the use of a new piece of equipment invented by the author, a culdoscope of special design, allowing a larger view of the operative field. Peridural anesthesia was employed in 88.8% of cases; general anesthesia in 3.2% of cases, and only for patients with psychological problems. The procedure lasted an average of 17 minutes; there were a few cases of immediate bleeding or pain, but no serious complications. Long-term side effects had usually to do with changes in libido. There were no pregnancies. 81.7% of patients were followed up to 3 months after sterilization; 95% of them were very satisfied with the procedure, and most declared to have chosen culdoscopy over other sterilization methods for esthetical reasons. The only contraindication to tubal ligation performed in this manner would be pelvic infection complicated by adnexitis.