Culdoscopic sterilization
Phuong, V.T.
Journal de Gynecologie Obstetrique et Biologie de la Reproduction 4(1): 133-139
1975
ISSN/ISBN: 0368-2315 PMID: 1230472 Document Number: 92658
The culdoscopic procedure is a method of choice among surgical tubular sterilization techniques. It is a simple procedure but contraindicated in cardiac, pulmonary or renal insufficiency, diaphragmatic hernia, essential arterial hypertension, peritonitis and its precursors, vaginitis (cervitis), and diseases of the hip and knee. The latter conditions, especially, interfere with the knee-chest position used for the procedure. Asepsis in a surgical environment is required. Anesthesia consists of atropine premedication, meperidine and chlorpromazine iv, and a local anesthetic of novocaine injected into the posterior vaginal cul-de-sac and the median line. A special speculum is put in place; a bilateral fimbriectomy after exposure of the vaginal uterine tubes by the Douglas method is performed using Gutierrez-Najar forceps. The operation takes about 1/4 hour, and the patient may go home with her husband after about 6 hours of postoperative observation. The procedure is simple, rapid, and very useful and suited to developing countries. It leaves no scars but does reguire anesthesia. Among 100 such procedures performed from August 1973 to January 1974 in Saigon, there were virtually no complications. 94 of the patients were hospitalized for a full day or longer.