All of these are considered procedures for the purpose of female sterilisation, EXCEPT?
Correct Answer: Laparoscopic Puerperal Sterlisation
Description: Laparotomy, minilaparotmy and laparoscopy are commonly done for female sterilisation. Hysteroscopic method of ligation, ESSURE is another upcoming method, where a Nitinol alloy made spring like device is introduced hysteroscopically into both tubes to cause occlusion with fibrosis. This fibrosis takes place almost over 3 months after which a Confirmatory HSG is done to check the occlusion. Laparoscopic tubal sterilisation in pureprium is known cause for failure of procedure since the rings are known to 'Slip-out' of the oedematous puerperal tubes. Also, the chances of uterine injury are higher. Puerperal sterilisation is done by a mini-lap incision and laparoscopy is not done in these patients A sub-total or a total Hysterectomy is no longer considered for the sole purpose of sterilisation because morbidity and moality are too high compared to tubal sterilisation methods, unless there is uterine pathology requiring a hysterectomy.
Category:
Gynaecology & Obstetrics
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