[Salpingoclasia by minilaparotomy following spontaneous abortion]. / Salpingoclasia por minilaparotomía postaborto espontáneo.

PIP: 200 cases of bilateral tubal occlusion by minilaparotomy after noninfected spontaneous abortion and 1 year follow-up were reviewed. 45% of the patients had a previous abortion. Tubal occlusion was carried out using the same anesthesia for uterine curettage and Pomeroy's technique. Complications may arise in abortions with an IUD in situ, with failure to use a uterine mobilizer in the intrapelvic uterus, obesity, and lack of experience on the part of the surgeon. There was 1 case of pregnancy which occurred, indicating a 0.5% failure rate. Postabortion sterilization should be included in all family planning programs. (author's)^ieng

Salpingoclasia por minilaparotomia postaborto espontaneo. / Salpingochlasia by minilaparotomy after spontaneous abortion

Se presenta la revision de 200 casos de oclusion tubaria bilateral por minilaparotomia, postaborto espontaneo no infectado, con un seguimiento a un ano. El 45 por ciento de las pacientes tenian la experiencia de un aborto previo. Se encontro util realizar la salpingoclasia aprovechando el mismo tiempo anestesico-quirurgico de el legrado uterino y emplear la tecnica de Pomeroy. Se encontro que pueden ser causa de complicaciones el aborto con DIU in situ, la falta de empleo de un movilizador uterino en uteros intrapelvicos, la obesidad de la paciente y la falta de experiencia del cirujano. Hubo un caso de embarazo lo que implica una falla del 0,5 por ciento.La esterilizacion postaborto debe formar parte importante de los programas de planificacion familiar