Mehta P V, Chitale A R
Obstet Gynecol. 1979 Oct;54(4):509-12.
The widespread demand for a simple, safe, and reversible sterilization procedure has attracted the attention of clinicians and researchers. A simple ligation with a single suture of nonabsorbable linen, involving a very small segment of tube (1 mm) in the isthmic portion about 1 cm from the isthmic ampullary junction, was used in 463 multiparous women. Of the 363 cases followed for a period of 1--3 years, there have been 52 failures. In 10 unsuccessful cases total abdominal bilateral salpingectomy was performed, and a detailed histologic study of these 20 tubes was instituted in an attempt to understand the mechanics of failure of the single-stitch technique. This is the first such study to be reported.
对一种简单、安全且可逆的绝育手术的广泛需求引起了临床医生和研究人员的关注。463名经产妇采用了一种简单的结扎方法,使用不可吸收亚麻单缝线,在距峡部壶腹交界处约1厘米的峡部结扎一小段输卵管(1毫米)。在363例随访1至3年的病例中,有52例失败。对10例失败病例进行了全腹双侧输卵管切除术,并对这20条输卵管进行了详细的组织学研究,试图了解单缝技术失败的机制。这是首次报道的此类研究。