Surgical methods of contraception and sterilization

Many techniques for surgically sterilizing dogs and cats have been described; each technique offers advantages and disadvantages to both the patient and surgeon. Techniques that have been described include traditional midline ovariohysterectomy, lateral flank ovariohysterectomy, castration, early age gonadectomy, ovariectomy, laparoscopic ovariohysterectomy and ovariectomy, and vasectomy. Regardless of the technique selected, strict adherence to sound surgical technique and asepsis is mandatory for good surgical outcome with minimal complications. This review will discuss surgical principles, complications, outcomes, as well as relevant current literature associated with each of these techniques of surgical sterilization.     

Plants used as means of abortion,contraception, sterilization and ecundation by Paraguayan indigenous people

Plants used by indigenous Paraguayan groups for contraception, abortion, sterilization, and fertility are identified by species and listed by indigenous group, linguistic family, and self-given name. The preparation and manner of administration of each plant is briefly described.     

Therapeutic abortion with concurrent sterilization: comparison of methods

Among patients seeking abortion are a group who request concurrent sterilization. This study compared three combinations of abortion and sterilization techniques. Suction termination with laparoscopic tubal ligation appears to be the combination of choice, for the mean hospital stay of patients undergoing this procedure was two days and the operative morbidity was 3.1%. For suction termination with tubal ligation at laparotomy, and hysterotomy with tubal ligation the mean hospital stays were 6 and 5.7 days respectively and the operative morbidity was four to five times greater.     

Preservation and sterilization methods of the meniscal allografts: literature review

Nowadays, there are four types of meniscal allografts known: fresh, cryopreserved, deep-frozen and lyophilized ones but only two of them are widely used in clinical practice. Use of different types of meniscal allografts still remains controversial due to preparation method, their biomechanical properties as well as cost which is connected with processing and storage. The main aim of this review is to present the current status of knowledge concerning meniscal allograft preservation and sterilization, especially the advantages and disadvantages of each method. Authors wanted to show a broad spectrum of methods used and conceptions presented by other authors. The second aim is to gather available information about meniscal preservation and sterilization methods in one paper. Deep-frozen and cryopreserved meniscal allografts are the most frequently used ones in the clinical practice. The use of fresh grafts stays controversial but also has many followers. Lyophilized grafts in turn are not applied at present due to some serious drawbacks including reduction of tensile strength, poor rehydration, graft shrinkage and post-transplantation joint effusion as well as increased risk of meniscal size reduction. An application of sterilizing agents make the meniscal allograft free from the bacteria and viruses, but also it may cause serious structure changes. Therefore, choosing just one ideal method of meniscal allograft preservation and sterilization is complicated and should be based on broad knowledge and experience of surgeon performing the transplantation.     

A review of osteoinductive testing methods and sterilization processes for demineralized bone

Allogeneic demineralized bone has been used extensively as a clinical graft material because it has osteoinductive and osteoconductive properties. Concerns over processing and terminal sterilization procedures that may reduce performance have led clinicians to call for assurances of product potency. There is extensive experience on effects of demineralized bone in animal and cell culture models with the possibility for future evidence-based standards for release of products. Evaluation of the current state of knowledge leads to the fact that we cannot conclude that performance of different lots of demineralized bone allografts in in vivo or in vitro test systems can be used as a measure of clinical performance. It may be possible to adopt an osteoinductivity standard for release-to-market, but it should be followed by clinical monitoring and further research.Presented in part at the 27th Annual Meeting of the American Association of Tissue Banks, San Diego, CA, August 24, 2003.     

Mechanical strength of bone allografts subjected to chemical sterilization and other terminal processing methods

Infectious disease transmission through the use of human donor allografts can be a catastrophic complication in an otherwise straightforward surgical procedure. The use of bone allograft in reconstructive orthopedic surgeries is increasing, yet severe complications, including death, can result if the transplanted tissues transmit a communicable disease to the tissue recipient. The BioCleanse((R)) tissue sterilization process is a fully automated, low-temperature chemical sterilization process that renders allograft tissue sterile. The purpose of this study was to evaluate the effect of a chemical tissue sterilization process on the mechanical strength of cortical bone allografts prior to implantation. Cylindrical cortical bone specimens were harvested from seven human cadaver donors and treated either by: chemical sterilization alone; chemical sterilization and terminal sterilization by gamma irradiation; chemical sterilization, lyophilization, terminal sterilization by STERRAD and rehydration; or untreated. The specimens were tested to failure in axial compression, diametral compression, shear, or bending. There were no significant differences in ultimate stress, strain, or fracture energy between the chemically sterilized and control groups in any of the testing modes.     

Characterization of methods for determining sterilization efficacy and reuse efficiency of oxygen biosensor multiwell plates

High-throughput screening (HTS) assays based upon fluorometric detection of oxygen consumption in microtiter plates were primarily developed for applications in drug discovery and ecotoxicology but have recently been adopted for use in microbial community-level physiological profiling assays (CLPP). The widespread use of oxygen biosensor systems for CLPP applications has, however, been hindered by the relatively high cost of oxygen biosensor reagent systems and limited access to microplate fluorometer instrumentation platforms. The ability to recycle and reuse oxygen biosensor system plates would expand their utilization for CLPP assays and other research applications in microbial ecology. Here, the efficacy and cost effectiveness of multiple procedures for sterilization of Oxygen Biosensor System (OBS; BD Biosciences) plates for reuse was evaluated. OBS plates were sterilized using ethylene oxide, ultraviolet radiation, and bleach treatments, then evaluated for biosensor response and plate life-cycle performance. Of the sterilization methods tested, ethylene oxide sterilization was most effective based on its low cost, high sterilization efficacy, and minimal impact upon OBS plate response.     

Non-surgical recovery of bovine eggs.

An improved, non-surgical technique for recovering bovine eggs is described using modified Foley catheters. Egg recovery rates per attempt were, $\text{36}\text{51}$ (71%), for normal, unsuperovulated donors and $\text{4}\text{38}$ (11%), for unsuperovulated donors with known fertility problems. For superovulated donors, eggs were collected in $\text{24}\text{26}$ attempts (92%) averaging 6.9 per recovery.     

Non-surgical transfer of deep-frozen bovine embryos

Preservation of cattle embryos by methods of deep-freezing has recently been established (1, 11, 12) and provides a valuable addition to the possibilities of controlled breeding by embryo transfer in cattle.Already long distance transport of frozen embryos has been demonstrated (2, 6) and adopted by some commercial interests. However, in all publications to date, embryos have been transferred to recipients by surgical methods, even though non-surgical methods of embryo recovery and transfer would be preferred for commercial embryo transfer.The purpose of the present experiments was to utilize non-surgical methods of embryo recovery and transfer of deep-frozen cattle embryos to demonstrate the feasibility of the procedure for a farm service to interested breeders. The particular advantage of non-surgical embryo transfer methods is that neither the donor nor recipient need to leave the farm. Embryo preservation by freezing obviates the necessity for synchronization of recipients for immediate transfer from the donor and allows considerable freedom in the choice of the recipients and the timing of embryo transfers.     

Effects of different disinfection and sterilization methods on tensile strength of materials used for single-use devices

Driven by economic and time constraints, some medical centers and third parties are resterilizing single-use devices (SUDs) for reuse. The steam autoclave is quick, but most plastics used in SUDs cannot survive the temperature. Thus, a number of new methods of cleaning, disinfecting, and sterilizing these complex devices are being introduced on the market. The present study investigated the effects of a range of methods on the tensile strength of latex rubber, silicone elastomer, 2 different formulations of polyurethane, nylon, and high-density polyethylene (HDPE) specimens. The methods used were sodium hypochlorite bleach (Clorox), peracetic acid + hydrogen peroxide (Steris), formaldehyde gas (Chemiclave), low-temperature peracetic acid and gas plasma (Plazlyte), and low-temperature hydrogen peroxide gas plasma (Sterrad). The results showed that silicone elastomer was minimally affected, whereas the strengths of nylon, polyethylene, and latex were reduced by some of the methods. Depending on the formulation, the strength of polyurethane either increased or decreased. The data demonstrated that disinfection and sterilization can affect the tensile strength of certain materials used in medical devices.     

Effect of methods of sterilization on thermoplastics with special reference to modified surfaces]

For materials intended for use in the medical setting their sterilizability is an indispensable prerequisite. In the case of most polymers the usual sterilization methods result in changes that even extend to cleavage of the polymer chains. A particular problem in this respect are the surfaces modified for improved biocompatibility investigated in the present study, which are characterised by enlarged contact areas. For this reason, possible changes to three different thermoplastics commonly used for medical applications (polyethylene, thermoplastic polyurethane, polycarbonate) were investigated. Steam, gas and radiation were used for sterilization. Tensile tests were employed to identify changes in mucosal characteristics caused by different sterilization techniques irrespective of the surface modification. Sterilization-related changes to the structure of the modified surfaces were investigated with the scanning electron microscope (SEM). Differential thermo analysis (DTA) was used to determine changes in the thermal characteristics of the plastics. Clear tendencies with regard to the behaviour of the plastics after sterilization with various techniques were found. A general statement about the compatibility of plastic materials with a specific sterilization method is not possible on the basis of this study. For every new polymeric product used for medical purposes, the characteristics required must first be defined and compliance with the permissible variations of these characteristics investigated for each of the various sterilization techniques available.