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Biomedical subjects

T Kumarasamy

Publications and source records attributed to T Kumarasamy.

10 recordsLinked to original sources
PubMed1978

Laparoscopic tubal occlusion with silicone rubber bands.

Application of the silastic ring to the Fallopian tubes through the laparoscope seems to be a simple, safe and acceptable method of tubal sterilization. The technique and results in 337 patients are described. In the majority of cases, the procedure was effected in the outpatient department under local anaesthesia. Transsection of the tube (with or without bleeding), tearing of the mesosalpinx, and avulsion of the tube at the uterotubal junction were the most common complications; with experience and adherence to the proper technique of ring application, the above can be minimized. The pregnancy rate following this procedure seems to be acceptable, but long-term follow-up is necessary for definitive conclusions.

Adolescent↗
PubMed1978

A simple device for double Falope-Ring application.

A simple principle of interrupting the complete approximation of the operating slide to the thumb ring was utilized to apply the Falope-Ring to each fallopian tube with one introduction of the Falope-Ring applicator already loaded with two rings, thus eliminating the process of withdrawal, reloading, and reinsertion. This procedure has been performed with the use of a simple device on 46 patients with good success. It seems to be technically easy and shortens the operating time by avoiding the possibility of fogging the optics during the process of withdrawing the scope for reloading.

Female↗
PubMed1978

HCG.

Explore the source record for details and available documents.

Chorionic Gonadotropin↗
PubMed1977

Regional training program of laparoscopy: impact on regional care.

In response to large numbers of requests for laparoscopic sterilization, the University of North Carolina began a training program to provide this service on a regional basis throughout the state. This report reviews the final distribution of centers providing these services: one within 50 miles of every person in the state. The clinical experience of 30 private physicians (excluding experience of residency training programs) was reviewed and found to parallel the national experience in provision of services, in complications, and in pregnancies. The brief but intense training program (2 days at the University of North Carolina and one morning at the physician's hospital) was found to result in rates of complications and failures similar to national levels of performance. Should the demand for laparoscopic sterilization increase in the coming years, the region has sufficient numbers of safely trained physicians to respond.

Female↗
PubMed1977

Laparoscopic sterilization with silicone rubber bands.

Laparoscopic sterilization with silicone rubber bands was performed on 202 healthy females in an attempt to assess the simplicity, safety, and effectiveness of the technique. The procedure was performed under local anesthesia and analgesia in 156 subjects while in 46 it was done under general anesthesia. One hundred and eighty-two were interval operations while 18 were combined with first trimester abortions. Avulsion of the uterine tube leading to bleeding occurred in three instances and this was the only complication of some concern in this series. No laparotomy was required to treat any immediate complications. Two pregnancies had occurred by July 1976. Both were found to be luteal phase pregnancies. This technique appears to be relatively simple and safe. Complications are few in experienced hands and are avoidable by careful selection proper technique.

Female↗
PubMed1976

Spring clip sterilization: one-year follow-up of 1,079 cases.

This is a report of 1,079 patients who underwent laparoscopic clip sterlization as of March, 1974. A one-year follow-up was obtained on 977 patients, or 90.5 per cent. Complications due to the clip technique appear limited to postoperative cramps for 24 to 48 hours in 26 per cent of patients. No ectopic pregnancies were detected. Pregnancies, when corrected for unsuspected existing pregnancies and surgical and manufacturing errors, occurred in 2 to 6 cases, for a method failure rate of 2 to 6/1,000. This report documents that experienced laparoscopists can perform this practice with local anesthesia, in combination with first-trimester abortion, and in hospital facilities other than an operating room.

Anxiety↗
PubMed1975

Spring clip tubal occlusion: a report of the first 400 cases.

Between September 1972 and March 1974, laparoscopic tubal sterilization was performed on 394 patients with the use of a spring-loaded plastic clip under local analgesia and on an outpatient basis. Intravenous fentanyl and infra-umbilical infiltration and tubal spray with 1% lidocaine were found to be very acceptable and effective forms of analgesia. The average time spent by a patient in the hospital was 4 hours, 26 minutes. There was no major immediate complications apart from vasovagal reactions in 34 patients. Up to June 30, 1974, six patients in the series had become pregnant, not as a failure of the clip per se, but as a result of improper application of the clips. This seems to be a safe, simple, and effective method of female sterilization with great potentials of reversibility.

Adult↗