Female sterilization by three endoscopic techniques in M.C.K.R. Hospital, New Delhi.
666 females who underwent laparoscopic sterilization in New Delhi, India by 3 different methods (bipolar electrocoagulation, Fallope rings, and "Filshie" Clips) were analyzed. 430 cases had bipolar electrocoagulation, 160 cases had Fallope rings, and 76 had Filshie Clips. Bands and clips were the preferable method in younger patients, in case recanalization is required. All cases are postpartum, postabortion, or interval sterilizations. Parity varied from second to sixth; ages were 25-45 years. Hospitalization for complications was necessary for only 9 patients. There was 1 tubal transection; 3 mesosalpinx tears, 1 paralytic ileus, and 4 cases of loss of rings and clips. Delayed complications include 41 complaints of pain--30 with Fallope ring, 11 with Filshie Clips; 2 cases menorrhagia--1 bipolar cautery; 1 Fallope ring; 5, dysmenorrhea--3 Fallope rings; 2 Filshie Clips; 1 ectopic pregnancy with Fallope ring; 3 uterine pregnancies--1 bipolar cautery, 2 Fallope rings; 1 vaginal discharge with a Filshie Clip; and 3 painful scars--2 with bipolar cautery, 1 with Filshie Clip. Pregnancy rate was 1.8% with Fallope ring; 0.25% with cautery and nil with Filshie Clip.