Jove
Visualize
Contact Us

Related Experiment Videos

Pregnancy after laparoscopic sterilization.

F D Loffer, D Pent

    Obstetrics and Gynecology
    |May 1, 1980
    PubMed
    Summary

    Laparoscopic sterilization failure rates are comparable to other methods, with mechanical techniques showing slightly higher risks. Pregnancies after failure have a high ectopic risk, but reversal is possible with various techniques.

    Related Concept Videos

    You might also read

    Related Articles

    Articles linked to this work by shared authors, journal, and citation graph.

    Sort by
    Same author

    Three-year comparison of thermal balloon and rollerball ablation in treatment of menorrhagia.

    The Journal of the American Association of Gynecologic Laparoscopists·2001
    Same author

    Preliminary experience with the VersaPoint bipolar resectoscope using a vaporizing electrode in a saline distending medium.

    The Journal of the American Association of Gynecologic Laparoscopists·2000
    Same author

    Hysteroscopic training guidelines. The ad hoc committee on hysteroscopic training guidelines of the American Association of Gynecologic Laparoscopists.

    The Journal of the American Association of Gynecologic Laparoscopists·2000
    Same author

    Hysteroscopic fluid monitoring guidelines. The ad hoc committee on hysteroscopic training guidelines of the American Association of Gynecologic Laparoscopists.

    The Journal of the American Association of Gynecologic Laparoscopists·2000
    Same author

    Does hysteroscopy improve upon the sensitivity of dilation and curettage in the diagnosis of endometrial hyperplasia or carcinoma?

    Gynecologic oncology·1999
    Same author

    Thermal balloon and rollerball ablation to treat menorrhagia: a multicenter comparison.

    Obstetrics and gynecology·1998
    JoVE
    x logofacebook logolinkedin logoyoutube logo
    ABOUT JoVE
    OverviewLeadershipBlogJoVE Help Center
    AUTHORS
    Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
    LIBRARIANS
    TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
    RESEARCH
    JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
    EDUCATION
    JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
    Terms & Conditions of Use
    Privacy Policy
    Policies

    Area of Science:

    • Reproductive Medicine
    • Minimally Invasive Surgery

    Background:

    • Laparoscopic sterilization is a common method for permanent contraception.
    • Understanding failure rates and outcomes is crucial for patient counseling.

    Purpose of the Study:

    • To evaluate the true failure rate of laparoscopic sterilization.
    • To compare outcomes of pregnancies following sterilization failure.
    • To assess the efficacy of different sterilization reversal techniques.

    Main Methods:

    • Literature review and comparison of authors' experience with laparoscopic sterilization pregnancies.
    • Exclusion of misidentification and luteal phase pregnancies to determine true failure rates.
    • Analysis of pregnancy outcomes, including ectopic pregnancy risk.
    • Review of reported success rates for laparoscopic sterilization reversal procedures.

    Main Results:

    • True failure rates for laparoscopic sterilization range from 0.9 to 6 per 1000 sterilizations, varying by technique.
    • Mechanical sterilization methods exhibit a slightly higher failure rate than electrical methods.
    • Pregnancies resulting from sterilization failure have a significantly increased risk of being ectopic.
    • Successful reversal of laparoscopic sterilization has been reported for most methods.
    • Tubal reimplantation and microsurgical techniques show similar success for electrosurgical sterilization reversal.
    • Microsurgical reanastomosis is recommended for patients sterilized by mechanical methods.

    Conclusions:

    • Laparoscopic sterilization failure rates are comparable to non-laparoscopic methods.
    • Ectopic pregnancy is a significant risk following laparoscopic sterilization failure.
    • Effective surgical options exist for reversing laparoscopic sterilization, with technique-specific recommendations.

    Related Experiment Videos