Development of a Novel Method of Female Sterilization: II. Retention of Tubal Screws in Patients Undergoing Simultaneous Laparoscopic Sterilization
| Autor: | Meir Ruach, Peter Scott, Roger Hart, Adam Magos |
|---|---|
| Rok vydání: | 2002 |
| Předmět: |
musculoskeletal diseases
medicine.medical_specialty Time Factors Laparoscopic sterilization Sterilization Tubal business.industry Female sterilization musculoskeletal system equipment and supplies Surgery surgical procedures operative Sterilization (medicine) medicine Humans Female Laparoscopy Life Tables In patient Filshie clip Ultrasonography business Fallopian Tubes Follow-Up Studies |
| Zdroj: | Journal of Laparoendoscopic & Advanced Surgical Techniques. 12:435-439 |
| ISSN: | 1557-9034 1092-6429 |
| DOI: | 10.1089/109264202762252712 |
| Popis: | This study was a long-term follow-up of patients in whom hysteroscopic tubal screws had been applied at the time of laparoscopic sterilization.Tubal screw application was performed before laparoscopic Filshie clip application. Follow-up ultrasonography was arranged 3, 6, and 9 months postoperatively to confirm retention. The tubal screws were removed hysteroscopically between 12 and 20 months after sterilization under local or light general anesthesia.Thirty-five women agreed to take part in the study. For the purpose of analysis, these patients were divided into an initial group (cases 1-20, group A) and a later group (cases 21-35, group B). Twenty-three patients had 41 tubal screws inserted (18 women had bilateral screw application). Twenty tubal screws were removed from 13 patients between 9 and 20 months after insertion, one screw remained in situ, and 20 screws had previously been extruded. Life table analysis plots demonstrated a marked but nonsignificant difference (P = .163) in the duration of tubal screw retention between the initial patients (group A) and the later patients (group B): 46.7% versus 76.9% at 6 months and 33% versus 61.5% at 12 months (P = .09 and P = .11, respectively).Our experience demonstrated improved application and retention with experience and refinement of the equipment; however, retention of the tubal screws, even in the later stages of development, was poor. A relatively noninvasive method of female sterilization remains the ideal, and further refinements are required. |
| Databáze: | OpenAIRE |
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