Irving tubal sterilization: report of 634 procedures
Hall, J.A.; Hall, B.R.; Hall, K.A.
Indiana Medicine the Journal of the Indiana State Medical Association 81(6): 520-524
1988
ISSN/ISBN: 0746-8288 PMID: 3411106 Document Number: 360969
Experience with the use of the Irving tubal sterilization technique in 634 patients from 1969 through 1983 during postpartum, interval, and cesarean section tubal sterilizations is reported. The average time to perform interval Irving sterilization was 30 minutes. The postpartum (n=362) and cesarean section (n=100) were easily done in a length of time not significantly different from a Pomeroy procedure. All interval patients (n=171) were released by the 4th postoperative day. All postpartum patients were released by the 2nd postoperative day. The Irving tubal ligation did not lengthen the hospital stay for any of the cesarean section patients. Of 634 patients, only 5 had early morbidity, i.e., that which occurred while in the hospital. 1 postpartum patient and 1 interval patient developed urinary tract infections, and another postpartum patient had a wound cellulitis. 2 patients had temperatures of 100.8 degrees on the 2nd postoperative day that resolved spontaneously without treatment or sequelae. There were no surgical complications or operative accidents. There was no indication in any patient of postoperative hemorrhage. There were no bladder, bowel, or uterine lacerations or perforations. 1 patient developed late morbidity. She had an interval ligation and developed a wound seroma that spontaneously resolved. There have been no known intrauterine or extrauterine pregnancies in any of the 634 patients following Irving tubal sterilization.