Ramialison L
Maternité de l'Hôpital J.R.A., Madagascar.
J Gynecol Obstet Biol Reprod (Paris). 1988;17(4):521-6.
The author describes an original procedure for carrying out suprapubic minilaparotomy in the hair-line. The incision measures about 2 cm. This is adequate for tubal sterilization and for removing the appendix routinely when the patient complains of pain in the right iliac fossa. The first twenty (20) cases treated resulted in effective tubal sterilization in 100% and appendicectomy could be carried out in 95% of cases. 15% had minor side-effects. This new procedure is highly to be recommended in developing countries because it allows a good view of the pelvis and gives an aesthetically pleasing result in suprapubic minilaparotomie undertaken for voluntary surgical contraception (VSC).
作者描述了一种在耻骨联合上方发际线处进行耻骨上小切口剖腹术的创新方法。切口约2厘米。这对于输卵管绝育以及当患者主诉右下腹疼痛时常规切除阑尾来说足够了。接受治疗的前20例患者中，输卵管绝育有效率达100%，95%的病例能够进行阑尾切除术。15%有轻微副作用。在发展中国家强烈推荐这种新方法，因为在为自愿手术避孕（VSC）进行耻骨上小切口剖腹术时，它能提供良好的盆腔视野且术后美观效果良好。
