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. 1979 Jan 6;1(6155):32–33. doi: 10.1136/bmj.1.6155.32

10-year survey of 485 sterilisations. Part I--Sterilisation or hysterectomy?

R G Whitelaw
PMCID: PMC1597496  PMID: 760946

Abstract

A survey was made of all sterilisations performed in an obstetric and gynaecological unit in Dunfermline in 1965-74 to determine the outcome and complications. Altogether 547 women were sterilised by the modified Pomeroy method, and 485 (88.7%) were interviewed and examined. No sterilisation was followed by serious complications, and the incidence of even minor complications was low (4.12%). There were no subsequent pregnancies. Altogether 57 women had to be referred for gynaecological operations in the years after sterilisation but only 18 of these had to have hysterectomies. At interview 59 women were found to have gynaecological symptoms (menstrual disorders in 46), and examination showed that 83 women had a gynaecological condition, which was in most cases unsuspected by the patient. Most of these conditions were minor but three women had carcinoma-in-situ of the cervix. Although 46 women suffered menstrual disorders after sterilisation 104 had done so at some time before the operation. These results therefore offer little support for the wider use of hysterectomy as a form of sterilisation.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bazley W. S., Crisp W. E. Postpartum hysterectomy for sterilization. Am J Obstet Gynecol. 1974 May 15;119(2):139–149. doi: 10.1016/0002-9378(74)90026-x. [DOI] [PubMed] [Google Scholar]
  2. Black W. P., Sclare A. B. Sterilization by tubal ligation--a follow-up study. J Obstet Gynaecol Br Commonw. 1968 Feb;75(2):219–224. doi: 10.1111/j.1471-0528.1968.tb02035.x. [DOI] [PubMed] [Google Scholar]
  3. Black W. P. Sterilization by laparoscopic tubal electrocoagulation: an assessment. Am J Obstet Gynecol. 1971 Dec 1;111(7):979–983. doi: 10.1016/0002-9378(71)90956-2. [DOI] [PubMed] [Google Scholar]
  4. Haynes D. M., Wolfe W. M. Tubal sterilization in an indigent population. Report of fourteen years' experience. Am J Obstet Gynecol. 1970 Apr 1;106(7):1044–1053. doi: 10.1016/s0002-9378(16)34090-x. [DOI] [PubMed] [Google Scholar]
  5. Hibbard L. T. Sexual sterilization by elective hysterectomy. Am J Obstet Gynecol. 1972 Apr 15;112(8):1076–1083. doi: 10.1016/0002-9378(72)90183-4. [DOI] [PubMed] [Google Scholar]
  6. Hughes G. J. Sterilisation failure. Br Med J. 1977 Nov 19;2(6098):1337–1339. doi: 10.1136/bmj.2.6098.1337. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Liston W. A., Bradford W., Downie J., Kerr M. G. Female sterilisation by tubal electrocoagulation under laparoscopic control. Lancet. 1970 Feb 21;1(7643):382–383. doi: 10.1016/s0140-6736(70)91516-3. [DOI] [PubMed] [Google Scholar]
  8. Parrott M. H. Elective hysterectomy. Am J Obstet Gynecol. 1972 Jun 15;113(4):531–540. doi: 10.1016/s0002-9378(15)32504-7. [DOI] [PubMed] [Google Scholar]
  9. Peterson E. P. Anesthesia for laparoscopy. Fertil Steril. 1971 Oct;22(10):695–698. doi: 10.1016/s0015-0282(16)38531-4. [DOI] [PubMed] [Google Scholar]
  10. Thompson B., Baird D. Follow-up of 186 sterilised women. Lancet. 1968 May 11;1(7550):1023–1027. doi: 10.1016/s0140-6736(68)91125-2. [DOI] [PubMed] [Google Scholar]
  11. Wheeless C. R., Jr, Thompson B. H. Laparoscopic sterilization. Review of 3600 cases. Obstet Gynecol. 1973 Nov;42(5):751–758. [PubMed] [Google Scholar]
  12. Wright R. C. Hysterectomy: past, present, and future. Obstet Gynecol. 1969 Apr;33(4):560–563. [PubMed] [Google Scholar]

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