Turkiye Klinikleri Gynecology Obstetrics - Special Topics

Aile Planlaması Özel Sayısı
.: REVIEW
Cerrahi Sterilizasyon
Surgical Sterilization
Prof.Dr. Ege Nazan TAVMERGEN GÖKERa,b
aKadın Hastalıkları ve Doğum AD, Ege Üniversitesi Tıp Fakültesi,
bEge Üniversitesi Aile Planlaması Kısırlık ve Araştırma Uygulama Merkezi, İzmir
Turkiye Klinikleri J Gynecol Obst-Special Topics. 2012;5(1):58-62
Article Language: TR
ÖZET
Kontrasepsiyon amacı ile uygulanan kalıcı yöntemler arasında en sık kullanılan yöntem cerrahi sterilizasyondur. Bu amaçla laparoskopi veya laparotomi ile uygulanan tuba ligasyonunun yanısıra mekanik yöntemlerden Filschie, Hulka klipsleri, elektriki metotlarda unipolar, bipolar koagülasyon, quinacrine gibi kimyasal yöntemler uygulanmaktadır. Son yıllarda histeroskopik uygulanan mikro insertler içeren Essure sistemi sıklıkla kullanılmaya başlanmıştır. Adiana yöntemi ve YAG-Laser uygulamasıda kullanılan yöntemler arasındadır. Ancak bu yöntemlerin de uygulanan tekniğede bağlı olmak üzere, kanama, enfeksiyon, bağırsak yaralanması, kardiyak arrest gibi komplikasyonları mevcuttur. Aynı zamanda uygun olmayan uygulamalarda dış gebelik riskide söz konusudur. Cerrahi sterilizasyon yönteminin seçimi olgunun durumuna göre uygun seçenek tesbit edilerek uygulanması halinde komplikasyon oranları azalmış, başarı oranları artmış olacaktır.

Anahtar Kelimeler: Sterilizasyon, tubal; laparoskopi; sterilizasyon; komplikasyonlar
ABSTRACT
Surgical sterilization is one of the most used contraceptive methods. Other than laparoscopically or laparotomically performed tubal ligation methods, mechanical techniques as the Filshie or Hulka clip, unipolar or bipolar electrical coagulation methods are available. Quinacrine, a chemical way of sterilization and the hysteroscopically performed Essure system which is a popular method nowadays are being used. Adiana and the YAG Laser system are other alternative methods that are used. According to the technique which is used complications as bleeding, infection, bowel injury, and cardiac arrest may be seen. Extrauterine pregnancy may be a rare complication if the appropriate technique is not used. In case of the correct method which is chosen according to the right decision, the complication rates will be lower with higher success rates.

Keywords: Sterilization, tubal; laparoscopy; sterilization; complications

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30.03.2014

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