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Reproduccion. 1981 Jul-Sep;5(3):157-62.

Uterine cornual cauterization as a sterilization method.


From January 1977 to December 1978, 33 cases of uterine cornual cauterization for sterilization were performed using an ultrasound scanner to locate the uterus immediately after an induced abortion at 6-8 weeks' gestation. Hysterosalpingography was performed 16 weeks postoperatively for each patient. In every case, the Fallopian tubes had been occluded.


Uterine cornual cauterization for sterilization purposes was performed on 33 women during the period of January 1977-December 1978. The procedure is described fully. An ultrasound scanner was used to locate the uterus immediately after an induced abortion at 6-8 weeks gestation. Ultrasound scan pictures are used to illustrate the discussion. The women experienced transitory pains in the lower abdomen about 2 hours after surgery and, after 2 more hours, they were allowed to return home. Some bleeding followed for up to 3 weeks. To verify blockage of the Fallopian tubes, hysterosalpingography was performed postoperatively at 16 weeks in each patient. Blockage of the tubes was confirmed in every case. Postoperative symptoms included narrowing of the uterine cavity and a decrease in the amount of blood lost at menstruation. There was also a tendency for menstrual pain to decrease. No serious complications resulted from the procedure.

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