This report describes and evaluates the techniques of tubal electrocoagulation and the instillation of quinacrine into the uterine cavity performed under hysteroscopic control. The technique of hysteroscopic electrocoagulation is simple and is performed as an outpatient procedure. Patients usually leave the clinic 20 min after the procedure and can resume their normal activities the same day. In a series of 930 hysteroscopic electrocoagulation procedures, tubal occlusion was obtained in 82.7% of the patients after the first electrocoagulation and in an additional 15.5% of the patients after a second electrocoagulation. Methods of cervical dilatation, uterine distension, techniques of electrocoagulation, and the importance of continuing an additional contraceptive method until tubal occlusion can be demonstrated are discussed. The use of quinacrine for tubal occlusion has not been successful and the procedure has been discontinued. Problems with quinacrine instillation are presented and the possibilities for successful modification of the procedure are discussed.
The surgical and early postoperative complications were evaluated in a study of 221 laparoscopies and 29 minilaparotomies in which tubal occlusions were performed with the application of tubal rings. For either procedure, complications were infrequent. None of the procedures had to be completed by another technique of tubal occlusion, and none of the patients required an extended hospitalization for the treatment of a complication. Among the 79 patients who have been followed up for more than 6 months, no pregnancies have been reported. The tubal ring technique appears to be safe and effective when used with either laparoscopy of minilaparotomy.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.