A comparison of the modified Pomeroy tubal ligation and Filshie clips for immediate postpartum sterilisation: a systematic review.
نویسندگان
چکیده
OBJECTIVES The modified Pomeroy procedure is currently the most widely used method for postpartum sterilisation. Alternative options are Filshie clips, Hulka-Clemens clips and Falope rings. In this systematic review we pooled the available evidence in order to compare the failure rates, complications, technical difficulties, and reversibility of the Pomeroy method and Filshie clips when resorted to for postpartum sterilisation. METHODS We gathered data from MEDLINE, EMBASE (1970-2010), the Cochrane database, and reference lists of randomised controlled trials (RCTs) and observational studies. We extracted information on study design, sample characteristics, interventions, and outcomes. RESULTS Our search yielded 294 citations of which 43 were retrieved for detailed evaluation. Fourteen studies were included in the systematic review. One RCT and three observational studies compared failure rates of the Pomeroy method vs. Filshie clips. A random-effects analysis of the pooled studies showed no difference in the failures rates between these two methods (odds ratio 0.76 [95% confidence interval 0.30-1.95]). Complication rates were similar although the Filshie clip technique was reported to be easier. CONCLUSIONS Filshie clip application is easier to perform. The failure and complication rates are comparable to those of the modified Pomeroy method, when performed in the postpartum period.
منابع مشابه
Techniques for the interruption of tubal patency for female sterilisation.
BACKGROUND Female sterilisation is the most popular contraceptive method worldwide. Several techniques are described in the literature, however only few of them are commonly used and properly evaluated. OBJECTIVES To compare the different tubal occlusion techniques in terms of major and minor morbidity, failure rates (pregnancies), technical failures and difficulties, and women's and surgeons...
متن کاملFailed sterilisation: evidence-based review and medico-legal ramifications.
Sterilisation is one of the most common procedures in the world. Around 50,000 female sterilisations are performed every year in the UK, although there is a suggestion of a worldwide downward trend in sterilisation procedures. Surgical techniques used in female sterilisation are designed to prevent pregnancy by occluding tubal patency through mechanical device application, electrocautery or by ...
متن کاملPostpartum Tubal Ligation in Low- and Medium-Resource Settings A Review and Synthesis of Literature
While female sterilization is most commonly performed through bilateral tubal ligation, but can be performed by tubal occlusion, this paper deals only with tubal ligation (TL) in the postpartum period. For many women or couples who have completed their family, a tubal ligation in the immediate postpartum period may represent an ideal method of family planning. Having the baby and a postpartum t...
متن کاملMicrosurgical reversal of sterilisation - is this still clinically relevant today?
INTRODUCTION Women with previous tubal sterilisation seeking fertility are faced with treatment options of reconstructive tubal surgery or in vitro fertilisation (IVF) techniques. The aim was to assess the current viability of tubal anastomosis in a local clinical practice. MATERIALS AND METHODS A retrospective cohort review of all sterilisation reversal cases from January 1998 to January 200...
متن کاملPomeroy tubal ligation by laparoscopy and minilaparotomy.
Pomeroy tubal ligation is a widely-used method for surgical female sterilization. A laparoscopic technique of Pomeroy tubal ligation using endoloop sutures is compared with the conventional technique of Pomeroy tubal ligation by minilaparotomy. Forty-four women requiring sterilization were randomly selected for either laparoscopy (n = 24) or minilaparotomy (n = 20). Mean operative time in the l...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- The European journal of contraception & reproductive health care : the official journal of the European Society of Contraception
دوره 16 5 شماره
صفحات -
تاریخ انتشار 2011