Cisse C T, Diadhiou F
Centre Hospitalier Universitaire Le Dantec, Dakar, Sénégal.
Med Trop (Mars). 1998;58(4):385-90.
Minilaparotomy under local anesthesia (ML/LA) is the most widely used technique of tubal sterilization in the world. Since 1993, the University Hospital Center of Dakar, Senegal has been the reference center performing 20 ML/LA a month. Most procedures (72%) are carried out for non-medical personal reasons. The remaining cases (28%) involve physical conditions incompatible with completion of normal pregnancy. In all cases, voluntary, informed consent is obtained from the couple and is documented in writing. Preoperative evaluation is performed to detect contraindications. The procedure consists of five steps: the vaginal phase, local anesthesia, abdomen incision, tubal ligation, and closure. Morbidity is less than 1%. The most common complications involve damage to visceral organs (intestine, bladder). These injuries are accessible to immediate repair and thus have a good prognosis. Failure rate due to technical error is low (average: 5.8/10,000). Current experience shows that ML/AL is a safe, effective, low-cost technique well suited to use in developing countries.
局部麻醉下小剖腹术（ML/LA）是世界上应用最广泛的输卵管绝育技术。自1993年以来，塞内加尔达喀尔大学医院中心一直是参考中心，每月进行20例ML/LA手术。大多数手术（72%）是出于非医疗个人原因进行的。其余病例（28%）涉及与正常妊娠完成不相容的身体状况。在所有情况下，均从夫妇双方获得自愿、知情同意，并以书面形式记录。进行术前评估以检测禁忌症。该手术包括五个步骤：阴道阶段、局部麻醉、腹部切口、输卵管结扎和缝合。发病率低于1%。最常见的并发症涉及内脏器官（肠道、膀胱）损伤。这些损伤可立即修复，因此预后良好。技术失误导致的失败率较低（平均：5.8/10000）。目前的经验表明，ML/AL是一种安全、有效、低成本的技术，非常适合在发展中国家使用。
