Laparoscopic tubal sterilization. Methods, effectiveness, and sequelae.

摘要: The following statements summarize the material presented herein. 1. Although laparoscopic tubal ligation remains an effective and widely available form of birth control throughout world, cumulative failure rates may be higher than previously reported, patients should appropriately counseled, with special attention to younger women. 2. Proper surgical technique is important in reducing rates, particularly regard applying clips or using bipolar cautery. Teaching institutions employ strict guidelines for instructing residents most techniques. 3. overall ectopic pregnancy are lower after (as true any control), ensure from a failed procedure, there 30% 80% chance pregnancy. Consideration given earlier ultrasound documentation location 4. There little evidence support PTLS biologic standpoint. data on increased hysterectomies post-tubal result multiple factors, women aged less 30 years at time occlusion. 5. majority report satisfaction sterilization, thorough counseling all cannot overemphasized. Women completely aware alternatives possibly encouraged try another method prior permanent sterilization.