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Tubal Ligation
Aka: Tubal Ligation, Tubal Sterilization
- Indications
- Permanent Contraception
- Advantages
- Highly effective permanent Contraception
- Decreased risk of Pelvic Inflammatory Disease
- Decreased risk of Ovarian Cancer
- Disadvantages
- Surgical risk
- Ectopic Pregnancy risk (one third of pregnancies)
- No protection against Sexually Transmitted Disease
- Regret following sterilization (<10% undergo reversal)
- Reversal success rate : 47-90%
- Functional Ovarian Cyst risk increases (Odds Ratio 1.7)
- Holt (2003) Obstet Gynecol 102:252-8 [PubMed]
- Efficacy: Failure rate
- First year failure rate: 0.5%
- Overall cummulative 10 year failure rate: 1.85%
- Peterson (1996) Am J Obstet Gynecol 174:1161-70 [PubMed]
- Minilaparotomy 10 year cummulative failure rate: 2.01%
- Filshie clip 10 year cummulative failure rate: 0.5%
- Small study (n=200)
- Filshie (1998) ISGE 7th annual meeting, South Africa
- Complications: Acute short-term
- Overall rates
- Mortality: 1-2 per 100,000
- Major complications: <0.5% of procedures
- Trauma to contiguous organs (e.g. Bladder, bowel)
- Hemorrhage
- Anesthesia complications
- References
- Baill (2003) Am Fam Physician 67(6):1287-1302 [PubMed]
- Pati (2000) Obstet Gynecol Clin North Am 27:859-99 [PubMed]