Laparoscopically applied hemoclips for tubal sterilization
Wheeless, C.R.
Obstetrics and Gynecology 44(5): 752-756
1974
ISSN/ISBN: 0029-7844 PMID: 4278963 Document Number: 73637
Although there have been very good results with laparoscopy sterilization, electrocoagulation injuries during the procedure continue to pose a problem. In order to reduce the incidence of electrocoagulation injuries and hemorrhage, a study was conducted on a new procedure. 2 hemoclips were placed on the fallopian tubes through the laparoscope, approximately 1 cm apart, but the tubes were not transected. 52 patients had the procedure performed. 22 of these were followed with hysterosalpingograms. 10 were noted to have a spill from 1 or both tubes. Complications of the procedure were rare and minor, and all patients were discharged 3-4 hours after surgery. 6 of the patients became pregnant. The hemoclips were noted to be intact in the patients. The 11.5% pregnancy rate discouraged any further research into this method.