[Experience with the tupla-clip for tubal sterilization by laparoscopy (author's transl)]

Abstract

For the last 18 months a plastic clip made of polyoxymethylene was used for tubal sterilization by laparoscopy. The clip was used in 140 cases. This report reviews 106 cases. One pregnancy occurred early in this series. There were no other complications. The advantages of the method are the short operating time and the elimination of intra-abdominal damage by heat. Reversibility of the method has not yet been assessed.

PIP: Polyoxymethylene clips were applied to the isthmic section of the Fallopian tubes in 140 women, 24-40 years of age. Results of 106 cases are presented. The average gravidity for the patients was 2.78, average parity 2.43. Most of the patients were from the middle class or upper lower class. The patients were observed for an average of 11.2 months after the clips were applied. 1 case of pregnancy was reported and 3 cases of hematoma. The clips were dropped or broken during application in 7 cases, but all were recovered without laparotomy. This method reduces operating time, and there is no damage caused by heat as by the electrocoagulation technique.