[Tubal sterilization in the new unified Germany--results of a survey]

A total of 4 statistical reviews of pelviscopic surgery had been issued in the Federal Republic of Germany until 1988. The five new federal states started such reviewing first in 1989 by quoting the number of tubal sterilization at 800. Our study, covering the period from May 31, 1991 to June 01, 1992 reveals an increase in pelviscopic surgery up to 20,000 with upward tendency. All 198 hospitals of the five new states were included in the inquiry and 133 of them took part in the survey. Out of 20,915 sterilization reported, 18,873 (90.3%) were performed by endoscopic surgery. Coagulation techniques such as monopolar and bipolar HF-methods, the endocoagulation according to Semm, and Laser techniques were available for endoscopic tubal sterilization. Mechanical methods such as a clip or Yoon's ring were used in less than 10% and were therefore of limited practical importance. Severe complications were reported in 32 cases.