Kouam L, Kamdom-Moyo J, Doh A, Ngassa P, Shasha W
Service de gynécologie et d'obstétrique, CHU Yaoundé.
Contracept Fertil Sex. 1994 Mar;22(3):167-72.
The results of tubal ligation done during cesarean section are analysed in the context of a developing country during the last eleven years (1982-1992) at the maternity of the University Hospital Centre in Yaounde (Cameroun), ring this time there were 13,759 deliveries, of which 1,062 cases were by cesarean section with 109 cases of tubal ligation and 2 cases of cesarean hysterectomy. The operative and post-operative complications are discussed and compared to that in cesarean hysterectomy. Complications are found to be more in cases of cesarean hysterectomy that in cases of tubal ligation by cesarean section. The author conclude that hysterectomy at the time of cesarean section should be restricted to those cases in which removal of the uterus is necessary to preserve the life of the patient.
对过去十一年（1982 - 1992年）在雅温得（喀麦隆）大学医院中心妇产科进行的剖宫产术中输卵管结扎结果进行了分析，在此期间共有13759例分娩，其中1062例为剖宫产，109例进行了输卵管结扎，2例进行了剖宫产子宫切除术。文中讨论了手术及术后并发症，并与剖宫产子宫切除术的并发症进行了比较。结果发现，剖宫产子宫切除术的并发症比剖宫产术中输卵管结扎的并发症更多。作者得出结论，剖宫产时子宫切除术应仅限于那些为挽救患者生命而必须切除子宫的病例。
