Abstract：
The latest recommendations of 2006 on tubal sterilization reported an infectious risk of 1.5 to 2.5% for the vaginal approach. There is, however, limited literature on this approach. The primary objective of our study was to investigate the feasibility of tubal sterilization via posterior colpotomy. The secondary objectives were to study the reproducibility of this approach, the postoperative infection rate after tubal sterilization via posterior colpotomy, to evaluate its peroperative and postoperative morbidity.
This retrospective study, conducted at the Antibes\'s Hospital, included patients over 18 years of age who underwent tubal ligation with clips or bilateral vaginal salpingectomy from 2005 to 2021.
We included a total of 158 patients: 88% by clips and 12% by bilateral salpingectomy. The average operative duration was of 27 minutes. There were no infectious or postoperative complications directly related to the sterilization. There were two failures of the technique, requiring conversion to laparoscopy (1.3%) and four subsequent pregnancies (2.5%).
We were able to show low morbidity and failure rates with this surgical technique. It, therefore, does not appear to be inferior to the laparoscopic approach. Moreover, it is reproducible technique.
This retrospective study, conducted at the Antibes\'s Hospital, included patients over 18 years of age who underwent tubal ligation with clips or bilateral vaginal salpingectomy from 2005 to 2021.
We included a total of 158 patients: 88% by clips and 12% by bilateral salpingectomy. The average operative duration was of 27 minutes. There were no infectious or postoperative complications directly related to the sterilization. There were two failures of the technique, requiring conversion to laparoscopy (1.3%) and four subsequent pregnancies (2.5%).
We were able to show low morbidity and failure rates with this surgical technique. It, therefore, does not appear to be inferior to the laparoscopic approach. Moreover, it is reproducible technique.
摘要：
2006年关于输卵管绝育的最新建议报告，阴道方法的感染风险为1.5％至2.5％。有,然而,关于这种方法的文献有限。我们研究的主要目的是研究通过后路结肠切除术进行输卵管绝育的可行性。次要目标是研究这种方法的可重复性，经后路结肠切除术输卵管绝育术后感染率,评估其围手术期和术后发病率。
这项回顾性研究，在昂蒂布医院进行的，包括2005年至2021年期间接受输卵管夹结扎术或双侧阴道输卵管切除术的18岁以上患者。
我们共纳入了158例患者：88%的患者采用夹式切除术，12%的患者采用双侧输卵管切除术。平均手术时间为27分钟。无与绝育直接相关的感染或术后并发症。这项技术有两次失败，需要转换为腹腔镜检查（1.3％）和四次随后的妊娠（2.5％）。
我们能够显示这种手术技术的低发病率和失败率。It,因此,似乎并不逊色于腹腔镜手术。此外，它是可重复的技术。
这项回顾性研究，在昂蒂布医院进行的，包括2005年至2021年期间接受输卵管夹结扎术或双侧阴道输卵管切除术的18岁以上患者。
我们共纳入了158例患者：88%的患者采用夹式切除术，12%的患者采用双侧输卵管切除术。平均手术时间为27分钟。无与绝育直接相关的感染或术后并发症。这项技术有两次失败，需要转换为腹腔镜检查（1.3％）和四次随后的妊娠（2.5％）。
我们能够显示这种手术技术的低发病率和失败率。It,因此,似乎并不逊色于腹腔镜手术。此外，它是可重复的技术。
