[Hysterosalpingographic finding tubal sterilization: their importance for the pathologic hysterosalpingogram(author's...

110 tubal sterilizations by Pomeroy's technique were performed in the years 1973--75. 78 cases were examined by hysterosalpingography. In 14 cases the ligature was located close to the intersitial portion of the tube (proximal type), in 52 cases in the isthmic ampullary junction or close to the ampulla (distal type) and in 12 cases on one side proximal type and on the other distal type. In 2 cases of the latter group failure of the ligature was confirmed by contrast medium in the pelvic cavity. The occluded portion of the tube was on the average longer after coeliotomy in comparison with laparotomy. Occluded tubes with smooth distribution of contrast-medium showed good peristaltic activity. Hydrosalpinx never developped, although often reported in the literature. A spill over of contrast-medium into the surrounding tissue was observed only in two cases. This low incidence indicates that the phenomenon is not caused by application of to high pressure.