Standards for Female and Male Sterilization Services - STATE ...

Standards for female and male Sterilization services 23f)g)h)i)Ligature of vas: The cut ends of the vas should be tied with non-absorbablesuture material (2 ‘0 ‘ black silk), and the sheath of the vas should preferably beinterposed between the two cut ends.Delivery of the opposite vas: The opposite vas must be fixed exactly in thesame manner using the three-finger technique at the lower end of the previouslymade puncture hole. It should be punctured and delivered in the same waythrough the earlier hole without increasing its size.Skin wounds: After the excision and ligature of both the vas, inspect the puncturesite for any bleeding. If there is none, the puncture site should be dressed with asmall piece of gauze. This should be retained for 48 hours. No stitch is appliedsince the puncture contracts and is nearly invisible after the removal of theinstruments.Scrotal support: The client should wear his normal snugly fitting underwear, oruse scrotal support with suspensory bandage.2.5. Post-operative Carea)b)c)The client should be discharged when the following conditions are met:i)ii)iii)iv)Thirty minutes have passed after the surgery.The client is alert and ambulatory.The client’s vital signs are stable and normal.The client has been seen and evaluated by a doctor.Analgesic and other medicines if needed must be provided/prescribed prior tosending the client home.Following vasectomy, the client should wear tight underpants or a loincloth tokeep the scrotum from moving and the subsequent possibility of bleeding andhaematoma formation.2.5.1. Post-operative InstructionsThe client should be provided with a discharge card indicating the name of the institution, thedate and type of surgery, and the date and place of follow-up (Annexure 8). Both verbal andwritten post-operative instructions should be given in the local language.The client should be told to do the following after he is discharged:a)Return home and take adequate rest.