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CAMP STERILIZATION VS HOSPITAL STERILIZATION –A LONG TERM FOLLOWS UP

Introduction: As a part of national family planning programme hospital and camp sterilization has been popularized in last few years.

Methodology: A study was undertaken at GICE Hospital, Kalyani since December, 2009 to March, 2018 on 500 sterilization cases who presented with various gynecological problems, at the clinic. The demographic profile, clinical presentations and operative findings were noted and a comparative study was done between the outcomes of camp and hospital cases.

Results: Three hundred sterilization cases ware performed at hospital and 200 were in camp. Mini laparotomy was done in 59.4%, (160/300) cases in hospital and 70% (140/200) cases of laparoscopic sterilization were per formed in camp sterilization cases. All 200 camp sterilization cases (100%) were performed during interval period, whereas in hospital sterilization cases were mostly puerperal 180/300 (60%). Complications following camp sterilization were found to be higher than that of hospital sterilization cases. Laparotomy revealed that tubo-ovarian mass was found in 33.3% (10/30) of camp sterilization (3 cases diagnosed pre-operatively) as compared to 11.4% (8/70) hospital sterilization cases.

Conclusion: Proper selection of cases and appropriate technique will improve the outcome of sterilization.

Key words: interval, laparoscopic sterilization, mini laparotomy, puerperal


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