복식소절개난관불임술 = Tubal sterilization via suprapubic small incision using newly designed uterine elevator

다국어 초록 (Multilingual Abstract)

In Korea, the IUD and oral pill programs which are given priority as major contraceptive methods have confronted with some difficulties because of their side effects, complexity of use, and high drop out. Therefore recently a high interest is given to tubal sterilization for woman which is the method that a better contraceptive effectiveness and can be brought by single procedure. Since 1966, the author have performed Pomeroy through a suprapubic small incison and have tried to develop a new method to elevate the uterine body, using utilizing Schroeder`s cervical dilator No.6 or /and male urethral metal bougie a round metal plate located 6cm from the tip of the device and the stem is bent like the pelvic cavature. As a whole it was very similar to today`s Vitoon`s elevator coincidentaly. In the early study prior to the main surgeries for some gynecological diseases such as mild ectopic pregnancy small uterine myoma small ovarian cyst, chronic metritis et cervicitis, and dysfunctional uterine bleeding Pomeroy procedures were tried via suprapubic tiny laparotomy under the procaine local anesthesia, and their results were satisfied in 25 cases but no pubication of this experiences has been provided even though the technic has been demonstrated to the residents of our department. Recently Dec. 1974 three kinds of uterine elevatoe for tiny-lap were devided by author, namely Bai`s IYT elevator, IT elevator and 17 elevator Among them Bai`s 17 elevator would be most useful and safety, Bai`s 17 elevator consists of handle, stem, intrauterine bending part and cavature and the manipulation technic showed in Fig 13, 16, 17. Once an adequte insertion is attained in the uterine fundus the Bai`s 17 elevator can be used to extend the uterus and vagina, elevate antevert and axis rotate(twist).