{"title":"Minilap, laparoscopic sterilization both effective, but failure rates vary with occlusive techniques.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76914,"journal":{"name":"International family planning digest","volume":"3 4","pages":"4-5"},"PeriodicalIF":0.0,"publicationDate":"1977-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22003209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Experts disagree over China's population size, but not over thoroughness of its FP program.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76914,"journal":{"name":"International family planning digest","volume":"3 3","pages":"13-4"},"PeriodicalIF":0.0,"publicationDate":"1977-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22002507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"New microsurgical techniques show promise for reversal of male and female sterilization.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76914,"journal":{"name":"International family planning digest","volume":"3 3","pages":"6-7"},"PeriodicalIF":0.0,"publicationDate":"1977-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22003032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A variety of outreach and follow-up workers play an important role in Philippine church's program.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76914,"journal":{"name":"International family planning digest","volume":"3 3","pages":"10-1"},"PeriodicalIF":0.0,"publicationDate":"1977-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22002505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Minilaparotomy recommended for most programs: simpler and safer than laparoscopic sterilization.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76914,"journal":{"name":"International family planning digest","volume":"3 3","pages":"12"},"PeriodicalIF":0.0,"publicationDate":"1977-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22002506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Indians repudiate coercion, not family planning: will new government support voluntary program?","authors":"L Landman","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76914,"journal":{"name":"International family planning digest","volume":"3 2","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"1977-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22004155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Indians repudiate coercion, not family planning: will new government support voluntary program?","authors":"L. Landman","doi":"10.2307/2948202","DOIUrl":"https://doi.org/10.2307/2948202","url":null,"abstract":"","PeriodicalId":76914,"journal":{"name":"International family planning digest","volume":"3 2 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"1977-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2307/2948202","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68698319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Minilaparotomy is a simple surgical procedure requiring only basic instruments with no blind insertion of sharp instruments (as with the trocar in laparoscopy) and not requiring insufflation. Instead, a 1-2 inch incision is made just above the pubic hairline, the tubes are located with the aid of a uterine manipulator, and a standard Pomeroy tubal ligation is performed. The abdominal wall is closed in layers. The entire procedure takes 15-30 minutes. Bleeding from the mesosalpinx is less likely because tubal ligation involves less trauma than fulguration or application of a clip or band. In addition, small blood vessels which may be injured are easily clamped or ligated. In those women in which it is not suitable (when the uterus is enlarged, or in fixed retroversion, or when the woman is obsese) a modified procedure involving an incision rather than a trocar puncture of the abdomen is recommended. Because the equipment needs no care beyond sterilization, minilaparotomy is the sterilization procedure of choice for large-scale programs in developing countries.
{"title":"Minilaparotomy recommended for most programs: simpler and safer than laparoscopic sterilization.","authors":"","doi":"10.2307/2948151","DOIUrl":"https://doi.org/10.2307/2948151","url":null,"abstract":"Minilaparotomy is a simple surgical procedure requiring only basic instruments with no blind insertion of sharp instruments (as with the trocar in laparoscopy) and not requiring insufflation. Instead, a 1-2 inch incision is made just above the pubic hairline, the tubes are located with the aid of a uterine manipulator, and a standard Pomeroy tubal ligation is performed. The abdominal wall is closed in layers. The entire procedure takes 15-30 minutes. Bleeding from the mesosalpinx is less likely because tubal ligation involves less trauma than fulguration or application of a clip or band. In addition, small blood vessels which may be injured are easily clamped or ligated. In those women in which it is not suitable (when the uterus is enlarged, or in fixed retroversion, or when the woman is obsese) a modified procedure involving an incision rather than a trocar puncture of the abdomen is recommended. Because the equipment needs no care beyond sterilization, minilaparotomy is the sterilization procedure of choice for large-scale programs in developing countries.","PeriodicalId":76914,"journal":{"name":"International family planning digest","volume":"230 1","pages":"12"},"PeriodicalIF":0.0,"publicationDate":"1977-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2307/2948151","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68697943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A life-table analysis of sterilizations in Singapore found minilap to be more effective than any other procedure. A multicenter life-table analysis based on experience in 24 countries found little difference in effectiveness. Singapore investigators noted that the method of tubal occlusion used with laparoscopy may have contributed to the high failure rate. Results from the multicenter group on 12-month pregnancy rates following minilaparotomy were similar to those of the Singapore group: .04/1000 compared to .02/100 (Singapore). The rate following laparoscopic sterilization was lower, .03/100 compared to 3.6/100 (Singapore). The main reason for laparoscopic failure was incomplete cauterization. Laparoscopy should be employed in institutions where the equipment required is cost-effective and where a large caseload would ensure that the surgeon's skills are maintained. For obese patients, or those with restricted uterine mobility, laparoscopy may be preferred.
{"title":"Minilap, laparoscopic sterilization both effective, but failure rates vary with occlusive techniques.","authors":"","doi":"10.2307/2948239","DOIUrl":"https://doi.org/10.2307/2948239","url":null,"abstract":"A life-table analysis of sterilizations in Singapore found minilap to be more effective than any other procedure. A multicenter life-table analysis based on experience in 24 countries found little difference in effectiveness. Singapore investigators noted that the method of tubal occlusion used with laparoscopy may have contributed to the high failure rate. Results from the multicenter group on 12-month pregnancy rates following minilaparotomy were similar to those of the Singapore group: .04/1000 compared to .02/100 (Singapore). The rate following laparoscopic sterilization was lower, .03/100 compared to 3.6/100 (Singapore). The main reason for laparoscopic failure was incomplete cauterization. Laparoscopy should be employed in institutions where the equipment required is cost-effective and where a large caseload would ensure that the surgeon's skills are maintained. For obese patients, or those with restricted uterine mobility, laparoscopy may be preferred.","PeriodicalId":76914,"journal":{"name":"International family planning digest","volume":"3 4 1","pages":"4-5"},"PeriodicalIF":0.0,"publicationDate":"1977-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2307/2948239","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68698615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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