[Postpartum tubal sterilization with the Parkland technique]

The purpose of this prospective study was to ascertain the simplicity, safety and effectiveness of the Parkland technique for puerperal tubal sterilization by minilaparotomy in 315 consecutive patients who underwent this procedure. Overall were healthy women sterilized for contraceptive reasons, for potential obstetrical high risk: great multiparity and/or reiterative cesarean section. The patients' mean age was 32.5 years (range, 23-39) and the mean parity 4.0 (range, 3-7). In 6 cases (1.9%) light intraoperative mesosalpinx bleeding was easily controlled. No other complaints in connection with the procedure was noted. There was not cases of failed sterilization: 0.0% of pregnancy rate after the procedure, with a mean follow-up period of 36 months (range, 12-60). From this study it appears that the Parkland technique is a very simple, safe and effective procedure for postpartum sterilization.