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KMID : 0358419750180030173
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Korean Journal of Obstetrics and Gynecology
1975 Volume.18 No. 3 p.173 ~ p.179
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Laparoscopic tubal sterilization -a review of 147 cases-
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박인재/Park IS
김현준/박성구/송인철/Kim HC/Park SK/Song IC
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Abstract
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One hundred forty seven cases of Laparoscopic tubal sterilization wre performed by means of fulguration and resection under mostly general anesthesia or local anethesia in a small number of caes during 19 months period from May 1 1973 to Nov, 30 1974. One incision and three burn technique were applied in this study. Age distribution showed the highest incidence in the age group of 31 to 35 years and average age was 32.6 years with the youngest age 19 years and the oldest 42. The number of children at Laparoscopic sterilization reported 3 kid in 40.4% of all cases and 2 kids in 23.8% respectively. The interval between the last delivery and Laparoscopic sterilization ranged 1 to 3 years in 45.6% of all cases. General anesthesia was used for 126 caese (82.7%) local anesthesia for 18 cases (12.3%) and combined local and general anesthesia for 3 cases (2.0%) Three to five liters of CO2 gas consumed for pneumoperationeum in more than half of all cases. It took less than 30 minutes to complete Laparoscopic tubal sterilization in 79.0% of all cases. Hospital stay required less than 24 hours in 80.2% of all case mostly in case of general anesthesia. Twelve cases (8.2%) of previous appendectomy were submitted to Laparoscopic tubal sterilization without considerable technical difficulty. Other episodes of previous Laparotomy were excluded for the indication of Laparoscopic tubal sterilization Laparoscopic tubal sterilization coincidence with artificiall abortion were carried out in 63 cases As the complications 9 cases of mesosalphingeal hemorrhage 7 cases of tubal hemorrhage and 3 cases of subcutaneous emphysema were encountered, but no intensive medical care was required in any cases.
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