title: [Sterilization during puerperium (author's transl)].
abstract: Sterilization of the woman during puerperium is performed immediately following delivery via a periumbilical incision during a caesaren section isthmica intraperitonealis via laparoscopy or 3--5 days following delivery by pelviscopy. The surgical procedure currently in use for ligating or severing the fallopian tubes is accompanied by extensive loss of blood. This procedure should, therefore, be replaced by the coagulation method which is safer and does not contribute to the formation of adhesions. If the abdomen has been dissected, either high frequency current or the Endo-coagulation procedure may be used to produce the destructive heat necessary to coagulate the fallopian tubes. If the abdomen has not been opened and the coagulation of the fallopian tubes must be performed via pelviscopy, the Endo-coagulation method should be used instead of the high frequency current procedure which cannot be absolutely controlled by the surgeon. The Endo-coagulation procedure works at or about the temperature of boiling water. The failure rate for this procedure is about 2--3 %0.
mesh_terms: D002585:Cesarean Section; D004564:Electrocoagulation / Q000295:instrumentation / Q000379:methods*; D005260:Female; D005860:Germany, West; D006801:Humans; D007883:Legislation, Medical; D049590:Postpartum Period; D011247:Pregnancy; D013243:Sterilization Reversal; D013246:Sterilization, Tubal / Q000379:methods*; D013997:Time Factors
vernacular_title: Sterilisierung im Wochenbett