CONTROVERSY BY METHODS OF STERILIZATION A T THE TIME OF CESAREAN-SECTION - TUBAL-LIGATION OR HYSTERECTOMY - A REVIEW OF THE LITERATURE

The results of tubal ligation done during cesarean section are analyse d in the context of a developing country during the last eleven years (1982-1992) at the maternity of the University Hospital Centre in Yaou nde (Cameroun). ring this time there were 13,759 deliveries, of which 1 062 cases were by cesarean section with 109 cases of tubal ligation and 2 cases of cesarean hysterectomy. The operative and post-operative complications are discussed and compared to that in cesarean hysterec tomy. Complications are found to be more in cases of cesarean hysterec tomy that in cases of tubal ligation by cesarean section. The auther c onclude that hysterectomy at the time of cesarean section should be re stricted to those cases in which removal of the uterus is necessary to preserve the life of the patient.