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Abstract Snrmnary Evaluation of different methods of sterilization in the department of obstetrics and gynecology Ain Shams University. Female sterilization is one of the old method o£ sterilization depending on bloc!d.ng or cutting of both fallopian tabes so that the spern can not reach the ovum. In the 19th and early 2Cith centuries it was a major o;;>eraticm. involving all the hazards of abdominal surgery and requiring days of hospital stay and weeks of convalecence • rnere are ~’Y methods of sterilization three of them have bean practiced L-:: O’.!r hospital since last year. Minilap sterilization lOC cases, Yoon band laparoscopic sterilization 100 cases vaeinal sterilization sterilization 25 cases also included in tile study 64 private cases of vaginal sterilization done by the senior supervisor of the thesis. The work is retrospective !L<d prospective comparative 1. The mea.’1 age of women undergoing Minilaj: 2. 3. 4. tion is ?~ 04 lapa.r · ~~-- oscop~c sterilization vaginal sterilization 34.96 the mean age cases of vaginal sterilization is 32.34. The mean parity of Hospital cases is ovel private cases is 3.83 The grandrnultipara constitute 64% g cases and 21.8% in private cases • The and young grandmultipara are 20-40% only lQ • 9% in privat:: cases. 7S% in ho :; • Parity 3· 4 are 2l-34%o in . hospital cases ar private cases. 6. ratio is over 1 in a 11 hospital cases. 7. The Mean ·-’L nuwuer of living c~uldren is just all hospital cases and 2.22 L• private cast 8. 83% of hospital cases were illiterate none private group. 112. study of t:he three techniques :..nalysis used will include comparizon regarding. I. Socially rige, occupation religion level of education number of children whether male or females. ;.ny indication for sterilization apart from social on~ • ~neral health, rheumatic heart kidney troubles Diabetes, etc ••••...•.•• ?rcvious abdominal and vaginal surgery. III. 2ur;ical Type oE anaesthesia, sur§:”ical time, level of the s~gcon detalis of each sur~ical techniques difficulties ~•d cmupiications durir~ the operation. Hospital stay folL:J”” up and failures. Comparison between the ::· techniques and the results reported £rcr.:u other areas of the world. Tne following results are o~tained 15. Failur and mi: 16. There 0 ”· 10. 114. :::2% of hospital cases were house wives 65.6% of the private group • The mea.r.. surgical time in minutes Minilap 21.6 , laparoscopy 10.9, vaginal sterilization 22.3, private cases of vaginal sterilization 11.5. 11. The wean hospital ste~’ :.n days minilap 1 • .::’~-, lzparoscopy 8.2S, vaginal sterilization, 1,30 and for privete group 1, 12. i:ieo:’..cal conditinn associa::ed with minilap G% , lao-aros- copy 1.. . •_’’%, , vagsterJ•. 1 u. at:;_. oE -’ d . h . ~,,,a~ WJ.t _ pr1vate &roup 2.1.c:z. 13. Th:: :ClOSt common diff:.c:1lt:· i~ mi~ilap was obesity, for vaginal and laparoscopy was adhesions. lL:. The <nost co!IIIlon post oper2tive complication was wound infection in minila? and laparoscopy, and dyspareunia in v~inal st3rilizetion, some menstrual d:’..sturbance was preser.t L:1 the 3 techniques. |