After cesarean section analysis of 55 cases of tubal ligation.docVIP

 PAGE \* MERGEFORMAT 5 After cesarean section analysis of 55 cases of tubal ligation [Keywords:] cesarean section, tubal ligation Due to various reasons, in recent years to increase the number of cesarean section, therefore, the clinical work of family planning technical services, will come into force after caesarean section encountered by patients who tubal ligation, cesarean section and after more or less scarring pelvic adhesions within the organization, will increase the difficulty of ligation. this collection I stood in January 2000 to May 2007 period, the implementation of 55 cases of tubal ligation after cesarean section clinical data analysis, summary of skills in the treatments after cesarean section and precautions. Materials and Methods 1. General Information 55 cases, the transverse incision in 37 cases, 18 cases of longitudinal incision, cesarean section after 10 years away from the ligation of the longest, shortest 1 year, 3 cases of the history of two caesarean, the oldest 41 and the youngest 26 years old . 2. Surgical preoperative preparation routinely performed by tubal ligation. Incision or take longitudinal cross-check, please refer to the original cesarean section incision surgery by the surgeon in size and the specific circumstances of the decision, the group to parallel and in the original incision 1 ~ 2 cm scar at the side for the horizontal (or longitudinal incision, followed by incision of the skin, subcutaneous tissue, cut before the rectus abdominis sheath, blunt separation of the rectus abdominis layer, try to avoid the original scar, the scar next to the separation of extraperitoneal fat, peritoneal repeatedly mentioned, confirmed that no other contents of the bowel after incision into the abdominal cavity. exploratory well: first, around the abdominal incision, the uterus area, the last bilateral fallopian tubes and ovaries. no obvious abnormalities, fallopian tubes were extracted ligation, there is abdominal adhesio