The subsequent course of patients sterilized by tubal ligation; a consideration of hysterectomy for sterilization.

摘要: Abstract 1.1. A high percentage of individuals subjected to tubal interruption for purposes sterilization at the Vanderbilt University Hospital subsequently developed pelvic abnormalities, most frequent symptom being abnormal uterine hemorrhage. Comparison with past histories a large number unselected hospitalized obstetrical and gynecological patients indicates occurrence bleeding complications be out proportion that expected in general female population. It is our impression frequently present systemic disease which performed causative, rather than any mechanical interference function resulting from operative procedure itself. 2.2. The increased risk progression advancing age suggests optimum time surgical these lies not future. 3.3. In view very low mortality morbidity simple hysterectomy absence distortion anatomy, it should considered those chronic or progressive diseases warranting destruction reproductive function. Procedures short preserve only menstrual uterus leave an organ is, as far known, worthless but potentially dangerous.