Female Sterilization

FEMALE STERILIZATION

Q. 1

Method of sterilization which is least effective is:

 A

Pomeroy’s technique

 B

Laparoscopy

 C

Vaginal fimbriectomy

 D

Hysteroscopic tubal occlusion

Q. 1

Method of sterilization which is least effective is:

 A

Pomeroy’s technique

 B

Laparoscopy

 C

Vaginal fimbriectomy

 D

Hysteroscopic tubal occlusion

Ans. D

Explanation:

Ans. is d i.e. Hysteroscopic tubal occlusion

Coplc tubal occlusion

Cauterisation (Failure rate 30%)                                                                   Sclerosants (Failure rate 15%) I – Due to high failure rate these methods are obsolete now

Hysteroscopic tubal occlusion is done by 2 methods and both these methods have high failure rates.

Also Know :

  1. Pomeroy’s method                                           0.4’3/0°
  2. Madiener                                                           7%
  3. Irwing                                                                Irreversible
  4. Fimbriectomy                                                    Irreversible
  5. Laparoscopic sterilization                               0.6%
  6. Hysteroscopic tubal block
    1. Cauterisation                                        30%
    2. Sclerosants                                           15%



Q. 2

Which of the following is the safest method of sterilization in immediate post partum period :

 A

Minilaparotomy

 B

Laparoscopy

 C

Hysteroscopic method

 D

None

Q. 2

Which of the following is the safest method of sterilization in immediate post partum period :

 A

Minilaparotomy

 B

Laparoscopy

 C

Hysteroscopic method

 D

None

Ans. A

Explanation:

Minilaparotomy


Q. 3

The success rate following tubal recannalisation is low after :

 A

Irwins method

 B

Pomeroy’s method

 C

Fimbriectomy

 D

Madlener’s method

Q. 3

The success rate following tubal recannalisation is low after :

 A

Irwins method

 B

Pomeroy’s method

 C

Fimbriectomy

 D

Madlener’s method

Ans. C

Explanation:

Fimbriectomy


Q. 4

Methods used for Laparoscopic sterilization in­clude the following except :

 A

Electrocoagulation

 B

Falope ring

 C

Irving

 D

Filchie clip

Q. 4

Methods used for Laparoscopic sterilization in­clude the following except :

 A

Electrocoagulation

 B

Falope ring

 C

Irving

 D

Filchie clip

Ans. C

Explanation:

Irving


Q. 5

You are considering a reversal of sterilization surgery in your patient. Which of the following surgeries if performed in a woman leaves no potential for reversal?

 A

Pomroy method

 B

Aldridge’s method

 C

Madlener operation

 D

Fimbriectomy

Q. 5

You are considering a reversal of sterilization surgery in your patient. Which of the following surgeries if performed in a woman leaves no potential for reversal?

 A

Pomroy method

 B

Aldridge’s method

 C

Madlener operation

 D

Fimbriectomy

Ans. D

Explanation:

In Pomroy’s method a section of the fallopian tube in excised and the ends ligated.

It can be reversed. In Aldridge’s method the fimbrial end is buried in the broad ligament.

This also can be reversed. In Madlener operation the tube is crushed and ligated.

This has a failure rate of 7% and is not done now.

This can also be reversed.

Fimbriectomy involves excision of the fimbriae and leads to permanent irreversible sterility.

Ref: Shaw’s Textbook of Gynaecology, 12th Edition, Page 187


Q. 6

Shoulder pain post laparoscopy is due to:

 A

Subphrenic abscess

 B

CO2 retention

 C

Positioning of the patient

 D

Compression of the lung

Q. 6

Shoulder pain post laparoscopy is due to:

 A

Subphrenic abscess

 B

CO2 retention

 C

Positioning of the patient

 D

Compression of the lung

Ans. B

Explanation:

Ans is b ie CO2 retention 

Shoulder pain is although a minor complication is exceedingly common and is due to the presence of a significant amount of residual carbon dioxide in the peritoneal cavity, trapped under the diaphragm and causing irritation of the diaphragm and thus referred pain to the shoulder through the phrenic nerve.


Q. 7

Gas commonly used in laparoscopy is:  

March 2004

 A

CO2

 B

SO2

 C

N2

 D

O2

Q. 7

Gas commonly used in laparoscopy is:  

March 2004

 A

CO2

 B

SO2

 C

N2

 D

O2

Ans. A

Explanation:

Ans. A i.e. CO2


Q. 8

Method of sterilization shown in the photograph is ? 

 A

Parkland technique.

 B

Irving technique.

 C

Pomeroy technique.

 D

Filshie clip.

Q. 8

Method of sterilization shown in the photograph is ? 

 A

Parkland technique.

 B

Irving technique.

 C

Pomeroy technique.

 D

Filshie clip.

Ans. C

Explanation:

The Pomeroy technique is one of the most frequent methods of tubal ligation surgery and is characterized by resection (or removal) of a portion of the fallopian tube. This involves tying a suture around segment of the tube and removing. Many surgeons like the Pomeroy procedure because it is simple and effective. Pomeroy Tubal Ligation is most often performed after delivery by Cesarean section. Pomeroy tubal ligation typically leaves two healthy segments of fallopian tube that can be rejoined through tubal reversal surgery. The amount of tube removed can be determined prior to tubal reversal from the tubal ligation operative report and pathology report.


Q. 9

Method of sterilization shown in the photograph is ? 

 A

Parkland technique.

 B

Irving technique.

 C

Pomeroy technique.

 D

Filshie clip.

Q. 9

Method of sterilization shown in the photograph is ? 

 A

Parkland technique.

 B

Irving technique.

 C

Pomeroy technique.

 D

Filshie clip.

Ans. D

Explanation:

Method of sterilization shown in the photograph above represents Filshie clip.

The Filshie clip is a hinged device made of titanium lined with silicone rubber. After the fallopian tube has been identified, the Filshie clip is brought to an area of tube 2–3 cm distal to the uterotubal junction. The lower edge of the clip is then visualized through the mesosalpinx to confirm that, when closed, the clip will completely occlude the tubal lumen. The clip is then closed via the applicator, and when closed flattens the curved upper jaw of the clip, occluding the tube. The upper jaw of the clip has a leading edge that extends under the lip of the lower jaw. As necrosis occurs, the rubber expands to keep the lumen blocked. Over time the tube divides into two separate peritoneum-covered stumps. 



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