ABSTRACT
A series of 125 consecutive requests from patients in a private practice for reversal of sterilization has been analysed. Most of the women (65,6%) had changed their marital status since the sterilization, 93,9% of these having been divorced (most of whom remarried--73,1% of the new husbands being younger than their wives and 89,6% marrying for the first time) and 6,1% widowed. In the 34,4% in whom there had been no change in marital status, a reappraisal and the wish to have another baby, sometimes consequent upon the death of a child (16,3%) or an improvement in health (7,0%) led to the request for reversal of sterilization. At the time of sterilization 64,8% of the women had been under the age of 30 years, and 82 (65,6%) had not had a stable marriage. This indicates that very careful counselling should be carried out before sterilizing patients, and also before considering reversal of the operation.
Subject(s)
Sterilization Reversal , Adult , Age Factors , Evaluation Studies as Topic , Female , Humans , Marriage , Middle AgedSubject(s)
Vasectomy/methods , Animals , Granuloma/etiology , Male , Rats , Testicular Diseases/etiologyABSTRACT
The organization of a microsurgery unit at experimental and clinical levels is of major importance. Microsurgery can be applied in every surgical specialty, and with and advent of microvascular surgery its role is steadily expanding, especially as regards all types of reconstructive surgery. The main aim is to provide a community service, but some experimental background is advantageous. It is not easy to introduce microsurgical practice into an institution where none of this work has been performed previously. The reorganization of surgical units is involved, and some operations are impossible without an operating microscope. A tenacity of purpose among surgeons and dedication by both teaching and technical staff is essential. Not every surgeon will wish to engage in this work but eventually it can be expected that grounding in microsurgery will become a routine part of the training of most surgeons. Although experimental research is important, the emphasis should be on clinical development.
Subject(s)
Hospital Units/organization & administration , Microsurgery , Vascular Surgical Procedures/education , Animals , Cercopithecidae , Dogs , Microsurgery/instrumentation , Photography , Public Relations , Rabbits , Rats , WorkforceABSTRACT
The application of microsurgery in gynaecology is discussed. The necessity for a proper training programme and correct selection of patients is stressed. A classification pertaining to surgical procedures is necessary to compare the results of such surgery. The limitations of microsurgery in dealing with adhesions is considered, as well as the markedly improved results in tubal anastomosis, and the possibility of substitution of oviducts is considered.
