Hirsch H A, Herbst S, Decker K
Geburtshilfe Frauenheilkd. 1977 Oct;37(10):869-72.
A total of 2,357 sterilizations via bipolar coagulation was effected at the University Clinics of Gynecology at Basel and Tübingen since 1972 and 1975 respectively. Of these, 2,143 were effected via laparoscopy. The following complications occurred which required laparotomy: in two cases, hemorrhages from the abdominal cavity as a result of the second puncture, in one case from the mesosalpinx, and, as a late complication, two extrauterine pregnancies. The method failed in the case of the two extrauterine pregnancies and possibly also in the case of two doubtful intrauterine pregnancies (0.8--1.7 per thousand). Today this surgical measure is being performed in Tübingen exclusively by the single-puncture technique an increasingly under local anesthesia. The advantages of the method are an accurately determinable coagulation zone, sparing of the mesosalpinx, low incidence of complications, absence of life-threatening incidents, and low failure quota.
自1972年和1975年起，巴塞尔大学妇科诊所和图宾根大学妇科诊所分别通过双极电凝法进行了总计2357例绝育手术。其中，2143例通过腹腔镜进行。出现了以下需要剖腹手术的并发症：2例因第二次穿刺导致腹腔出血，1例因输卵管系膜出血，以及2例作为晚期并发症的宫外孕。该方法在2例宫外孕病例中失败，在另外2例可疑的宫内妊娠病例中可能也失败了（每千例中有0.8 - 1.7例）。如今，图宾根仅通过单穿刺技术越来越多地在局部麻醉下进行这种手术措施。该方法的优点是凝血区域可精确确定，输卵管系膜得以保留，并发症发生率低，无危及生命的事件，且失败率低。
