tubal ligation
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Introduction
Indications
- reproductive sterilization
- parous women over 30 wishing infertility
*Generally considered safe & effective
Complications
- hysteroscopic sterilization associated with a lower risk of iatrogenic complications (RR=0.35), but a 10-fold risk of need for repeat procedure compared with laparoscopic sterilization[2]
- hysteroscopic vs laparoscopic sterilization associated lower risk for surgical or medical complications during hospitalization (0.13% vs 0.78%), but higher risk for tubal disorder or surgery at 1 & 3 years (0.70% vs 0.23%)[3]
- unintended pregnancy rare after either procedure (~1%)
- surgical & major medical complications at 30 days (< 0.5%)[2]
More general terms
More specific terms
References
- ↑ Medical Knowledge Self Assessment Program (MKSAP) 11, American College of Physicians, Philadelphia 1998
- ↑ 2.0 2.1 2.2 1) Mao J, Pfeifer S, Schlegel P, Sedrakyan A Safety and efficacy of hysteroscopic sterilization compared with laparoscopic sterilization: an observational cohort study. BMJ 2015;351:h5162 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/26462857 <Internet> http://www.bmj.com/content/351/bmj.h5162
- ↑ 3.0 3.1 Bouillon K, Bertrand M, Bader G et al Association of Hysteroscopic vs Laparoscopic Sterilization With Procedural, Gynecological, and Medical Outcomes. JAMA. 2018;319(4):375-387 PMID: https://www.ncbi.nlm.nih.gov/pubmed/29362796 https://jamanetwork.com/journals/jama/article-abstract/2670255
Espey E, Hofler LG. Evaluating the Long-term Safety of Hysteroscopic Sterilization. JAMA. 2018;319(4) PMID: https://www.ncbi.nlm.nih.gov/pubmed/29362776 https://jamanetwork.com/journals/jama/article-abstract/2670235