"The Risk of Pregnancy after Tubal Sterilization: Findings from the U.S. Collaborative Review of Sterilization."

Peterson, Herbert B.; Xia, Zhisen; Hughes, Joyce M.; Wilcox, Lynne S.; Tylor, Lisa Ratliffe

doi:10.2307/2137928

Cited by 36 publications

(53 citation statements)

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“…The most commonly used methods of sterilization in the United States are silastic rings, Filshie clips, or bipolar cautery [2]. The US Collaborative Review of Sterilization (CREST) study, a prospective analysis of outcomes with postpartum partial salpingectomy and laparoscopic occlusion procedures, included procedures performed from 1978 to 1987 at a time when surgical technology was not far advanced and the goal was to do procedures as quickly as possible given the relatively poor visualization and the lack of sophisticated instruments [3]. Thus, surgeons rarely performed methods that would be 100% effective, like salpingectomy.…”

Section: Introductionmentioning

confidence: 99%

Safety outcomes of female sterilization by salpingectomy and tubal occlusion

2017

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TitleAbstract Objective: Compare immediate and short-term complications and surgical times among women having laparoscopic salpingectomy or tubal occlusion for female sterilization. Study design: We used billing data to identify women having laparoscopic sterilization at our training institution between July 1, 2011, and June 30, 2015. We performed a retrospective chart review to extract demographic information, surgical times and complications within 30 days, including unscheduled clinic or emergency room visits. We categorized complications as immediate (prior to discharge) and short-term (within 30 days after the procedure). Surgeries including additional procedures other than IUD removal were considered mixed operations. Mixed operations and unilateral sterilization procedures were only included in safety evaluations. Results: The 149 procedures included 81 salpingectomies (including 18 mixed operations and 2 unilateral salpingectomies) and 68 tubal occlusions (including 8 mixed operations). All procedures involved Obstetrics and Gynecology residents. Salpingectomy and occlusion procedures had similar immediate (2.5% vs. 2.9%, p=1.0) and short-term (4.9% vs. 14.7%, p=.051) complication rates. Surgical time averaged 6 min longer for salpingectomies than occlusion procedures (44 vs. 38 min, respectively, p=.018). Average surgical times were shorter with more experienced (3rd/4th year) residents than less experienced (1st/2nd year) residents for both salpingectomy (32±18 min vs. 46±13 min, respectively, p=.124) and occlusion procedures (32±13 min vs. 41±12 min, respectively, p=.026). Conclusion: Salpingectomy for female sterilization takes slightly longer to complete than tubal occlusion procedures without evidence that it increases complications. Implications statement: Laparoscopic salpingectomy is a safe alternative to tubal occlusion with only a small increase in surgical time. Because salpingectomy offers higher efficacy and more ovarian cancer protection than occlusion procedures, salpingectomy should be an option offered to women seeking laparoscopic sterilization.

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Section: Introductionmentioning

confidence: 99%

Safety outcomes of female sterilization by salpingectomy and tubal occlusion

2017

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“…Falope ring sterilization eliminates electrocoagulation and potential burns [5]. It is rapid and effective, and it permits sterilization of an outpatient by means of laparoscopy or minilaparotomy under general or local anaesthesia [6].…”

Section: Discussionmentioning

confidence: 99%

Falope Rings or Modified Pomeroy’s Technique for Concurrent Tubal Sterilization

Basava

Roy

Priya

et al. 2016

J Obstet Gynecol India

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Introduction Sterilization at caesarean section is usually performed by the modified Pomeroy's technique. Application of Falope rings and Filshie clips may also be used for tubal sterilization at caesarean section, and these techniques are also used during laparoscopy or minilaparotomy.Objectives The main objective of the study was to evaluate the failure rates, complications, technical difficulties and reversibility of the Falope ring application for tubal sterilization as compared to the traditional modified Pomeroy's technique used during caesarean sections. Methodology Five hundred multigravid women who underwent caesarean section for various causes and wanted concurrent tubal sterilization were recruited in the study. Two hundred and fifty women underwent tubal sterilization by Falope ring application and the other 250 by modified Pomeroy's technique. Follow-up period ranged from 3 to 42 months. These patients' names were checked against the antenatal booking register, the operating theatre register in case of ectopic pregnancies and a termination of pregnancy register to recognize failed sterilization.

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“…14 Women are willing to undergo the surgical risk, postoperative discomfort, and the expense of the procedure because tubal ligation is reliable and has a cumulative failure rate of only 1.9%. 15 There is a need worldwide for an alternative method of sterilization that is as reliable as the surgical method, but safer and lower in cost. 16 Attempts to occlude fallopian tubes nonsurgically date back more than 150 years ago when a probe coated with nitric acid was used to sclerose fallopian tubes.…”

Section: History Of Fallopian Tube Catheterization For Sterilizationmentioning

confidence: 99%

Fallopian Tube Catheterization

Thurmond¹

2011

Gynecologic Imaging

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"The Risk of Pregnancy after Tubal Sterilization: Findings from the U.S. Collaborative Review of Sterilization."

Cited by 36 publications

References 0 publications

Safety outcomes of female sterilization by salpingectomy and tubal occlusion

Safety outcomes of female sterilization by salpingectomy and tubal occlusion

Falope Rings or Modified Pomeroy’s Technique for Concurrent Tubal Sterilization

Fallopian Tube Catheterization

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