[German pelviscopy statistics 1978 to 1982]. 1985

H H Riedel, and P Conrad, and K Semm

The second statistics concerning pelviscopy in Germany included information about 269603 pelviscopies done in 322 general hospitals and 22859 pelviscopies done in 62 private clinics between 1978 and 1982. The participation of 38.7% for general hospitals and of 43.3% for private clinics may be explained by the fact that a major part of the participating clinics keep no detailed documentation on their operative procedures or cannot answer extensive questionnaires for lack of personnel. In general hospitals the rate of serious complications was 1.9% and in private clinics 2.0%. Injuries of large blood vessels topped the list of the complications (36.3% or 43.2%) (Bisler et al. 1980, Erkrath et al. 1979, Cognat et al. 1976, Mintz 1977). The rate of serious complications occurring in general hospitals and private clinics could certainly be lowered by intensifying the training in pelviscopic operation techniques (e.g. with the training phantom according to Semm) and by avoiding risky procedures like high frequency coagulation techniques in endoscopic operations. The predominant technique employed in tubal sterilisation was the bipolar high-frequency current method with 75% in general hospitals and 73.1% in private clinics, followed by the endocoagulation technique, according to Semm (36.8%). Sterilisation failures were reported in 2.6% or 2.5%. Most failures were reported after sterilisation by the bipolar high-frequency technique (3.9%) followed by clip technique (3.7%), and only very rarely in endocoagulation (1.1%). The rate of ectopic pregnancies following sterilisation was 1.06% = 40.6% of the total pregnancy rate after fallopian tube sterilisation or 0.68%.(ABSTRACT TRUNCATED AT 250 WORDS)

UI MeSH Term Description Entries
D010388 Pelvis The space or compartment surrounded by the pelvic girdle (bony pelvis). It is subdivided into the greater pelvis and LESSER PELVIS. The pelvic girdle is formed by the PELVIC BONES and SACRUM. Pelvic Region,Region, Pelvic
D011247 Pregnancy The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH. Gestation,Pregnancies
D004724 Endoscopy Procedures of applying ENDOSCOPES for disease diagnosis and treatment. Endoscopy involves passing an optical instrument through a small incision in the skin i.e., percutaneous; or through a natural orifice and along natural body pathways such as the digestive tract; and/or through an incision in the wall of a tubular structure or organ, i.e. transluminal, to examine or perform surgery on the interior parts of the body. Endoscopic Surgical Procedures,Surgical Procedures, Endoscopic,Endoscopic Surgical Procedure,Endoscopy, Surgical,Surgical Endoscopy,Surgical Procedure, Endoscopic,Procedure, Endoscopic Surgical,Procedures, Endoscopic Surgical
D005260 Female Females
D005831 Genital Diseases, Female Pathological processes involving the female reproductive tract (GENITALIA, FEMALE). Gynecologic Diseases,Female Genital Diseases,Diseases, Female Genital,Diseases, Gynecologic,Female Genital Disease,Genital Disease, Female,Gynecologic Disease
D005860 Germany, West The former Federal Republic of Germany which was reunified with the former German Democratic Republic in 1990. Federal Republic of Germany,Germany, Federal Republic of
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D012306 Risk The probability that an event will occur. It encompasses a variety of measures of the probability of a generally unfavorable outcome. Relative Risk,Relative Risks,Risk, Relative,Risks,Risks, Relative
D013246 Sterilization, Tubal Procedures that render the female sterile by interrupting the flow in the FALLOPIAN TUBE. These procedures generally are surgical, and may also use chemicals or physical means. Ligation, Tubal,Tubal Ligation,Aldridge Procedure,Chemical Tubal Occlusion,Cooke Method,Cornual Coagulation,Fimbriectomy,Irving Method,Kroener Fimbriectomy,Kroener Method,Madlener Method,Nonchemical Tubal Occlusion,Occlusion, Chemical Tubal,Occlusion, Nonchemical Tubal,Pomeroy Method,Pomeroy Sterilization,Tubal Occlusion,Tubal Occlusion, Chemical,Tubal Occlusion, Nonchemical,Tubal Rings,Uchida Method,Chemical Tubal Occlusions,Coagulations, Cornual,Cornual Coagulations,Fimbriectomies,Fimbriectomy, Kroener,Ligations, Tubal,Nonchemical Tubal Occlusions,Ring, Tubal,Rings, Tubal,Sterilization, Pomeroy,Sterilizations, Tubal,Tubal Ligations,Tubal Occlusions,Tubal Occlusions, Chemical,Tubal Occlusions, Nonchemical,Tubal Ring,Tubal Sterilization,Tubal Sterilizations

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