pubmed-article:667989 | pubmed:otherAbstract | PIP: Tubal sterilization via laparoscopy and cautery has two distinct disadvantages: 1) the possibility for damaging organs other than the fallopian tubes exists; and 2) the process destroys too much of the tube to make successful reconstruction likely. The Fallope ring overcomes both these difficulties. It is a small silicone band which is placed on a 3cm knuckle of the fallopian tube. The tube is grasped by an attachment of the laparoscope, a knuckle is formed, and the ring is dropped onto the tube by another laparoscopic attachment. The operation is simple, may be performed on an out-patient basis, and can be done under local anesthesia. The author has performed 902 such sterilizations in the years 1973-1975, and 7 women have become pregnant. Only 1 pregnancy was due to method failure. The other women were unknowingly pregnant at the time of the sterilization. The complications encountered were: transection of the tubes (2.5%), abdominal pain (3.9%), free ring in the abdomen (0.9%), application of the Fallope ring to the intestine (0.2%), infection (0.2%), and hematoma of the mesosalpinx (0.2%). | lld:pubmed |