AN INITIAL COMPARISON OF COAGULATION TECHNIQUES OF STERILIZATION

  • 1 January 1982
    • journal article
    • research article
    • Vol. 27  (5) , 261-267
Abstract
For nearly 50 yr reports have been published on [human] laparoscopic sterilization techniques. The different procedures vary greatly with regard to the extent of the tube destroyed and the magnitude of damage to the mesosalpinx. In 1981 it was proven that a clear relationship exists between the extent of destruction of the circulation and nervous system within the mesosalpinx and the occurrence of menstrual disorders as well as menopausal symptoms. Because 2/3 of the ovarian blood supply passes through the ramus tubarius of the ateria uterina, after destruction of larger areas of the mesosalpinx striking disturbances within the ovarian metabolism must be expected. The expansion of the coagulated area following the use of mono- and bipolar high frequency current, endocoagulation and CO2 laser coagulation is being studied. With the aid of conventional histologic techniques, in addition to enzyme histochemical and EM examinations, attempts are being made not only to determine the extent of the destroyed zone but also to gain additional information on damage of the vascular and nervous systems of the tubes and ovaries. Although these studies were not yet completed, it is possible at this time to state that the unipolar high-frequency coagulation technique, because of its tremendous primary and secondary complications, should not be used for laparoscopic female sterilization.