title: Minilaparotomy female sterilisation in a rural setup: a comparison of two antibiotic regimens.
abstract: Female sterilisation is the world's most popular contraceptive method. With present advances in contraceptive technology, surgical contraception seems to be the most popular and safest method of fertility control all over the world. The advent of laparoscopy has made the procedure easier in developed countries but not so widely in a developing country like India. Current study was carried out to compare two antibiotic regimens on patients undergoing minilaparotomy tubal ligation and also to see whether local anaesthesia and intravenous sedation/analgesia can be safely practised in a rural setup, where the infrastructure of a tertiary level institution was unavailable. Out of 729 patients, none were referred to a higher centre due to any surgical or anaesthetic problem and a lower rate of infection in the group receiving postoperative combination antibiotic supports the fact that female sterilisation can be performed safely with common antibiotic coverage available in the rural hospitals of developing countries with limited operative facilities.
authors.affiliation: Department of Gynaecology and Obstetrics, N. B. Medical College and Hospital, Sushrutanagar, Darjeeling 734012, India. ray_sailesh@rediffmail.com
authors.forename: S
authors.initials: S
authors.lastname: Ray
authors.forename: M
authors.initials: M
authors.lastname: Gangopadhyay
authors.forename: P P
authors.initials: PP
authors.lastname: Pal
mesh_terms: D000328:Adult; D000772:Anesthesia, Local; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D019072:Antibiotic Prophylaxis / Q000379:methods*; D003906:Developing Countries; D005193:Family Planning Services; D005260:Female; D006801:Humans; D007194:India; D007813:Laparotomy / Q000379:methods; D019035:Rural Health Services; D013246:Sterilization, Tubal / Q000379:methods*; D014946:Wound Infection / Q000453:epidemiology / Q000517:prevention & control*; D055815:Young Adult
chemical_list: D000900:Anti-Bacterial Agents