Gorozpe Calvillo J, García Luna A, Manterola D, Téllez Martínez J, Vázquez Cuellar G
Serv Biología de la Reproducción, Hospital de Gineco Obstetricia Luis Castelazo Ayala, IMSS, México, D.F.
Ginecol Obstet Mex. 1991 Aug;59:257-60.
From January 1, 1987 January 30, 1990, 374 laparoscopic sterilizations using silastic rings (Falope), were carried out. Morbidity and main risk factors, were analyzed. More frequent surgical complications were: mesosalpinx rupture, and fallopian tube rupture in 22 cases (5.8%); abdominal wall emphysema, three cases (0.8%), uterine perforation, two cases (0.5%); other pelvic structures lesions, three cases (0.8%). Morbidity risk factors were: previous abdominal surgery, obesity, salpingitis, use of an uterine mobilizer in a puerperal uterus, and practice of tubal occlusion during the luteal phase of cycle, due to possibility of luteal phase pregnancy; therefore, if a risk factor is present, it is advisable to use other contraceptive technique.
从1987年1月1日至1990年1月30日,共进行了374例使用硅橡胶环(法洛皮环)的腹腔镜绝育手术。对发病率和主要危险因素进行了分析。较常见的手术并发症有:输卵管系膜破裂和输卵管破裂22例(5.8%);腹壁气肿3例(0.8%),子宫穿孔2例(0.5%);其他盆腔结构损伤3例(0.8%)。发病的危险因素有:既往腹部手术史、肥胖、输卵管炎、在产褥期子宫使用子宫操纵器以及在月经周期黄体期进行输卵管结扎,因为存在黄体期妊娠的可能性;因此,如果存在危险因素,建议采用其他避孕技术。