Techniques for the interruption of tubal patency for female sterilisation

Abstract

Low risk population Complaints: Postoperative pain (24 hours) 477 per 1000 544 per 1000 (420 to 706) OR 1.14 (0.88 to 1.48) 922 (3) ⊕⊕⊕⊕ high *The basis for the assumed risk is the median control group (clip) risk across studies. The corresponding risk (and its 95% confidence interval) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI). CI: confidence interval; OR: odds ratio GRADE Working Group grades of evidence High quality: Further research is very unlikely to change our confidence in the estimate of effect. Moderate quality: Further research is likely to have an important impact on our confidence in the estimate of effect and may change the estimate. Low quality: Further research is very likely to have an important impact on our confidence in the estimate of effect and is likely to change the estimate. Very low quality: We are very uncertain about the estimate.

Feasibility of Complete Salpingectomy Compared With Standard Postpartum Tubal Ligation at Cesarean Delivery

“…A computer-generated randomization scheme with a block size of 100 was produced by our data center with only our lead biostatistician having access to the algorithm. Our standard practice for postpartum bilateral tubal ligation at the time of cesarean delivery is the modified Pomeroy technique (double ligation of midportion loop of tube with No.1 plain catgut suture and subsequent transection of tube) with the Parkland method only used in rare situations at the discretion of the attending physician when modified Pomeroy is deemed unfeasible or unsafe (10). A standard protocol was developed for the complete salpingectomy procedure.…”

Efficacy of Tubal Surgery for Permanent Contraception: Considerations for the Clinician

“… 3 More recently, the Cochrane Collaboration performed a meta-analysis in 2016 that identified two randomized controlled trials which examined postpartum partial salpingectomy and were powered to assess the rate of procedure failure ( Table 1 ). 8–10 This analysis showed limited, moderate quality evidence with similar failure rates to CREST data. 8 …”

“… 8–10 This analysis showed limited, moderate quality evidence with similar failure rates to CREST data. 8 …”

“…Analysis of two trials revealed a failure rate of 0.5 per 1000 procedures over one year of follow-up. 8 …”

Laparoscopic salpingectomy in Papio hamadryas for birth control in captivity

“…The efficacy, safeness, and morbidity of each specific technique were reviewed, showing that all methods have minor morbidity and that technical failures were more common with rings and clips. 8 Between 2008 and 2011, bilateral salpingectomy increased from 0.4% to 33.3% of all surgical and pharmacological sterilization procedures in women. 9 However, permanent sterilization techniques, such as tubal ligation or oviduct blockage, are more appropriate for women because their gonadal hormones are not related to developing disease or complications.…”