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An evaluation of the Filshie clip for postpartum sterilization in Austria.

Abstract

Voluntary sterilization is a popular method of family size limitation. Among other techniques for surgical induction of female sterility, the application of various kinds of clips to the Fallopian tubes has been introduced. The Filshie clips consist of rubber-lined titanium and their use for interval sterilization has been repeatedly published. So far, there are only a few reports regarding the use of Filshie clips during the postpartum period, when tubes are edematous and more friable. Therefore, 300 women voluntarily requesting postpartum surgical sterilization for the purpose of family size limitation were enrolled into a prospective trial. Within 72 h of delivery, 282 women were sterilized under general anesthesia using a subumbilical minilaparotomy approach and Filshie clip application. Of these women, 251 were available for follow-up examination at 6 weeks, 240 at 6 months, 234 at 12 months, and 209 at 24 months after the sterilization procedure. Complication rates were low, and there were no pregnancies during the follow-up period. These results indicate that the application of Filshie clips is a safe and efficacious method of surgical female sterilization in the postpartum period.

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  • Authors

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    Source

    Contraception 54:5 1996 Nov pg 309-11

    MeSH

    Adult
    Austria
    Evaluation Studies as Topic
    Fallopian Tubes
    Female
    Follow-Up Studies
    Humans
    Menstrual Cycle
    Population Control
    Postpartum Period
    Sterilization, Tubal
    Surgical Instruments
    Time Factors

    Pub Type(s)

    Clinical Trial
    Journal Article

    Language

    eng

    PubMed ID

    8934066

    Citation

    TY - JOUR T1 - An evaluation of the Filshie clip for postpartum sterilization in Austria. AU - Graf,A H, AU - Staudach,A, AU - Steiner,H, AU - Spitzer,D, AU - Martin,A, PY - 1996/11/1/pubmed PY - 1996/11/1/medline PY - 1996/11/1/entrez KW - Austria KW - Clips KW - Developed Countries KW - Equipment And Supplies KW - Europe KW - Family Planning KW - Female Sterilization KW - Postpartum Women KW - Prospective Studies KW - Puerperium KW - Reproduction KW - Research Methodology KW - Research Report KW - Sterilization Seekers--women KW - Sterilization, Sexual KW - Studies KW - Surgery KW - Treatment KW - Western Europe SP - 309 EP - 11 JF - Contraception JO - Contraception VL - 54 IS - 5 N2 - Voluntary sterilization is a popular method of family size limitation. Among other techniques for surgical induction of female sterility, the application of various kinds of clips to the Fallopian tubes has been introduced. The Filshie clips consist of rubber-lined titanium and their use for interval sterilization has been repeatedly published. So far, there are only a few reports regarding the use of Filshie clips during the postpartum period, when tubes are edematous and more friable. Therefore, 300 women voluntarily requesting postpartum surgical sterilization for the purpose of family size limitation were enrolled into a prospective trial. Within 72 h of delivery, 282 women were sterilized under general anesthesia using a subumbilical minilaparotomy approach and Filshie clip application. Of these women, 251 were available for follow-up examination at 6 weeks, 240 at 6 months, 234 at 12 months, and 209 at 24 months after the sterilization procedure. Complication rates were low, and there were no pregnancies during the follow-up period. These results indicate that the application of Filshie clips is a safe and efficacious method of surgical female sterilization in the postpartum period. SN - 0010-7824 UR - https://www.unboundmedicine.com/medline/citation/8934066/An_evaluation_of_the_Filshie_clip_for_postpartum_sterilization_in_Austria_ L2 - http://linkinghub.elsevier.com/retrieve/pii/S0010-7824(96)00185-0 ER -