[Controversy on the method of sterilization during cesarean section: tubal ligation or hysterectomy? Review of the literature].

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.