Prime

Type your tag names separated by a space and hit enter

Use of multiple clips for tubal occlusion in interval laparoscopic sterilization: circumstances and consequences.

Abstract

The use of multiple clips for the occlusion of the Fallopian tubes has been reported in interval laparoscopic sterilization, but the circumstances leading to the performance of the multiple-clip procedure and its effects on safety and efficacy have not been carefully studied. A data set from international multi-center clinical trials of Filshie clips and Wolf (Hulka) clips was used to examine the possible reasons for performing this procedure for 102 women. Their complications, complaints, and surgical and post-surgical events before discharge and during one month of follow-up were compared with those of the 408 women whose tubes were occluded by single clip. Results indicate that multiple clips were most often used when surgical difficulties (and to a much lesser degree, tubal and/or mesosalpingeal injury) were encountered during the sterilization procedure. No increased risk of short-term complications or complaints (including pelvic pain) was found at one-month follow-up for those patients who received multiple clips.

Links

  • Publisher Full Text
  • Authors+Show Affiliations

    Family Health International, Research Triangle Park, North Carolina 27709.

    Source

    Contraception 50:5 1994 Nov pg 409-16

    MeSH

    Adult
    Female
    Humans
    Intraoperative Complications
    Postoperative Complications
    Sterilization, Tubal

    Pub Type(s)

    Clinical Trial
    Controlled Clinical Trial
    Journal Article
    Research Support, U.S. Gov't, Non-P.H.S.

    Language

    eng

    PubMed ID

    7859450

    Citation

    TY - JOUR T1 - Use of multiple clips for tubal occlusion in interval laparoscopic sterilization: circumstances and consequences. A1 - Chi,I C, PY - 1994/11/1/pubmed PY - 1994/11/1/medline PY - 1994/11/1/entrez KW - Americas KW - Asia KW - Canada KW - Caribbean KW - Central America KW - Clips KW - Developed Countries KW - Developing Countries KW - Dominican Republic KW - Endoscopy KW - England KW - Equipment And Supplies KW - Europe KW - Examinations And Diagnoses KW - Family Planning KW - Female Sterilization KW - Guatemala KW - Haiti KW - Indonesia KW - Interval Sterilization KW - Laparoscopy KW - Latin America KW - Mexico KW - North America KW - Northern America KW - Northern Europe KW - Physical Examinations And Diagnoses KW - Research Methodology KW - Retrospective Studies KW - South America KW - Southeastern Asia KW - Sterilization, Sexual KW - Studies KW - Summary Report KW - Tubal Occlusion KW - United Kingdom KW - Venezuela SP - 409 EP - 16 JF - Contraception JO - Contraception VL - 50 IS - 5 N2 - The use of multiple clips for the occlusion of the Fallopian tubes has been reported in interval laparoscopic sterilization, but the circumstances leading to the performance of the multiple-clip procedure and its effects on safety and efficacy have not been carefully studied. A data set from international multi-center clinical trials of Filshie clips and Wolf (Hulka) clips was used to examine the possible reasons for performing this procedure for 102 women. Their complications, complaints, and surgical and post-surgical events before discharge and during one month of follow-up were compared with those of the 408 women whose tubes were occluded by single clip. Results indicate that multiple clips were most often used when surgical difficulties (and to a much lesser degree, tubal and/or mesosalpingeal injury) were encountered during the sterilization procedure. No increased risk of short-term complications or complaints (including pelvic pain) was found at one-month follow-up for those patients who received multiple clips. SN - 0010-7824 UR - https://www.unboundmedicine.com/medline/citation/7859450/Use_of_multiple_clips_for_tubal_occlusion_in_interval_laparoscopic_sterilization:_circumstances_and_consequences_ L2 - http://linkinghub.elsevier.com/retrieve/pii/0010-7824(94)90058-2 ER -