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[Is tubal sterilization with the Tupla-clip a reversible method?].

Abstract

Between 1976 and 1981 402 tubal sterilizations were performed with Tupla-clip most of them by laparoscopic application. 11 tubes were removed between 15 and 47 months following the sterilization with the Tupla-clip. The local changes both macroscopically and microscopically to the tupla-clip were evaluated. The possibility of tubal patency following removal of the clips was tested by carbon dioxide pertubation. The tubal-occlusion with the tupla-clip is definitive since all tubes had a fibrous tissue strand where the clip had been applied which still carried blood vessels. No tube was patent with the carbon dioxide pertubation. The intra-operative testing of correct application of the clip and the documentation of this correct application is again mentioned. This is especially important in view of the recent judgements of the federal supreme court regarding liability in failed tubal sterilizations. The excellent chance of reversal by tubal anastomosis and the 100% success rate of this method of sterilization within the 6 years under observation will increase the acceptance of the tupla-clip as a method for tubal sterilizations.

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  • Publisher Full Text
  • Authors

    ,

    Source

    Geburtshilfe und Frauenheilkunde 43:2 1983 Feb pg 127-30

    MeSH

    Female
    Humans
    Laparoscopy
    Sterilization Reversal
    Sterilization, Tubal
    Time Factors

    Pub Type(s)

    English Abstract
    Journal Article

    Language

    ger

    PubMed ID

    6220939

    Citation

    TY - JOUR T1 - [Is tubal sterilization with the Tupla-clip a reversible method?]. AU - Henkel,B, AU - Helpap,B, PY - 1983/2/1/pubmed PY - 1983/2/1/medline PY - 1983/2/1/entrez KW - Clips KW - Contraception KW - Contraceptive Effectiveness KW - Contraceptive Usage KW - Endoscopy KW - Equipment And Supplies KW - Examinations And Diagnoses KW - Family Planning KW - Female Sterilization KW - Gynecologic Surgery KW - Laparoscopy KW - Method Acceptability KW - Physical Examinations And Diagnoses KW - Reversibility KW - Sterilization, Sexual KW - Surgery KW - Surgical Equipment KW - Treatment KW - Urogenital Surgery KW - Use-effectiveness SP - 127 EP - 30 JF - Geburtshilfe und Frauenheilkunde JO - Geburtshilfe Frauenheilkd VL - 43 IS - 2 N2 - Between 1976 and 1981 402 tubal sterilizations were performed with Tupla-clip most of them by laparoscopic application. 11 tubes were removed between 15 and 47 months following the sterilization with the Tupla-clip. The local changes both macroscopically and microscopically to the tupla-clip were evaluated. The possibility of tubal patency following removal of the clips was tested by carbon dioxide pertubation. The tubal-occlusion with the tupla-clip is definitive since all tubes had a fibrous tissue strand where the clip had been applied which still carried blood vessels. No tube was patent with the carbon dioxide pertubation. The intra-operative testing of correct application of the clip and the documentation of this correct application is again mentioned. This is especially important in view of the recent judgements of the federal supreme court regarding liability in failed tubal sterilizations. The excellent chance of reversal by tubal anastomosis and the 100% success rate of this method of sterilization within the 6 years under observation will increase the acceptance of the tupla-clip as a method for tubal sterilizations. SN - 0016-5751 UR - https://www.unboundmedicine.com/medline/citation/6220939/[Is_tubal_sterilization_with_the_Tupla_clip_a_reversible_method]_ L2 - http://www.thieme-connect.com/DOI/DOI?10.1055/s-2008-1037073 ER -