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Failure of sterilization after clip placement.

Abstract

BACKGROUND

Tubal sterilization is a common method of contraception used worldwide. The Filshie clip is a device designed to occlude the fallopian tubes. It is common practice to apply the clips across the isthmus using laparoscopy. It is often suggested that failures occur due to problems with the technique used to occlude the fallopian tubes.

CASE

After insertion of an intrauterine device, a patient experienced an unplanned pregnancy and subsequent abortion. The intrauterine device was removed, and bilateral Filshie clips were applied by an experienced surgeon. After this procedure, the patient experienced a second unplanned pregnancy and subsequent abortion. A partial salpingectomy was performed after the fallopian tubes were examined, and it was confirmed that the Filshie clips were applied appropriately.

CONCLUSION

It is important to understand why sterilization clips lead to contraceptive failure and to inform patients of this risk. Contraceptive failure after female sterilization remains a medical issue.

Links

  • Aggregator Full Text
  • Authors

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    Source

    Obstetrics and gynecology 111:2 Pt 2 2008 Feb pg 515-7

    MeSH

    Adult
    Contraceptive Devices, Female
    Equipment Failure
    Fallopian Tubes
    Female
    Humans
    Pregnancy
    Pregnancy, Unwanted
    Reoperation
    Sterilization, Tubal

    Pub Type(s)

    Case Reports
    Journal Article

    Language

    eng

    PubMed ID

    18239005

    Citation

    TY - JOUR T1 - Failure of sterilization after clip placement. AU - Belot,F, AU - Louboutin,A, AU - Fauconnier,A, PY - 2008/2/2/pubmed PY - 2008/3/28/medline PY - 2008/2/2/entrez SP - 515 EP - 7 JF - Obstetrics and gynecology JO - Obstet Gynecol VL - 111 IS - 2 Pt 2 N2 - BACKGROUND: Tubal sterilization is a common method of contraception used worldwide. The Filshie clip is a device designed to occlude the fallopian tubes. It is common practice to apply the clips across the isthmus using laparoscopy. It is often suggested that failures occur due to problems with the technique used to occlude the fallopian tubes. CASE: After insertion of an intrauterine device, a patient experienced an unplanned pregnancy and subsequent abortion. The intrauterine device was removed, and bilateral Filshie clips were applied by an experienced surgeon. After this procedure, the patient experienced a second unplanned pregnancy and subsequent abortion. A partial salpingectomy was performed after the fallopian tubes were examined, and it was confirmed that the Filshie clips were applied appropriately. CONCLUSION: It is important to understand why sterilization clips lead to contraceptive failure and to inform patients of this risk. Contraceptive failure after female sterilization remains a medical issue. SN - 0029-7844 UR - https://www.unboundmedicine.com/medline/citation/18239005/Failure_of_sterilization_after_clip_placement_ L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=linkout&SEARCH=18239005.ui ER -