Regeneration of the Fallopian tubes following sterilization
Semm, K.; Philipp, E.
Geburtshilfe und Frauenheilkunde 39(1): 14-19
1979
ISSN/ISBN: 0016-5751 PMID: 154428 Document Number: 140309
A procedure for performing female sterilization is recommended. A segment of the Fallopian tube is coagulated at 100 degrees C and then divided. 940 sterilizations were according to this procedure without later pregnancy. Of 126 post cesarean section sterilizations performed with a high frequency coagulation technique there were 0 pregnancies. 1 pregnancy occurred among 486 women who underwent high frequency sterilization per pelviscopiam. 11 pregnancies occurred among 50 women who underwent transuterine coagulation of the pars intramuralis isthmica by CO2 hysteroscopy and Fallopian tube sterilization by either high frequency or 100 degree C sterilization without tubal division. 3 patients who underwent 100 degree C coagulation without tubal division all became pregnant. The 100 C method is preferable to high frequency coagulation techniques, which can seriously damage tissues outside of the visible zone. High frequency current also flows through human tissues into uncontrolled zones along the path of least resistance and can cause tissue damage. The apparent burning caused by the high frequency method does not necessarily cause coagulation, and triggers increased mitotic activity to regenerate the muellerian duct. To prevent this, large sections of the Fallopian tubes down into the mesosalpinx must be destroyed, which can interfere with ovarial blood supply and cause hormonal damage. Coagulation at 100 degrees C followed by tubal division avoids these complications.