Permanent sterilization by hysteroscopic cauterization.
A small series of 22 patients who underwent hysteroscopy cauterization is reported. The uterus was distended with CO2 and dextran. Cauterization was done with a 6 mm. long, active-tip, No. 4 electrode: There was a 27 per cent failure rate for the controlled cases, this dropping to 11 per cent after recauterization. A significant complication, small bowel perforation, was treated by resection and anastomosis with complete recovery. The uterine distention with CO2 is safe but ostium visualization is not very good; Dextran distention is more cumbersone but gives excellent visualization and exposure of the ostium because higher intrauterine pressures are developed.
D000758:Anesthesia; D002245:Carbon Dioxide / Q000008:administration & dosage / Q000009:adverse effects; D002425:Cautery / Q000009:adverse effects; D003911:Dextrans / Q000008:administration & dosage; D019723:Endoscopes; D004724:Endoscopy; D005260:Female; D005336:Fiber Optic Technology; D006801:Humans; D007047:Hysterosalpingography; D007416:Intestinal Perforation / Q000209:etiology; D010535:Laparoscopy; D008598:Menstruation; D009765:Obesity / Q000150:complications; D011312:Pressure; D013246:Sterilization, Tubal / Q000379:methods*; D013997:Time Factors; D014599:Uterus
D003911:Dextrans; D002245:Carbon Dioxide