TubalLigation.doc - hysteroscope so that it lies within the...

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LI: Tubal Ligation By: Daniel Trimble Tubal ligation is a sterilization procedure in which the fallopian tubes are closed with a clip, ring, or electrocoagulation to prevent the passage of ova from the tubes to the endometrial cavity and the passage of sperm to the tubes. With the introduction of laparoscopic methods, tubal ligation is now a quick, safe, outpatient procedure with a short recovery period. Tubal ligation may also be accomplished through minilaparotomy (through a small suprapubic incision) or open laparotomy if necessary. Female sterilization is the second most popular method of contraception by American women; 17% of reproductive-age, sexually active women have been surgically sterilized. Essure, a coil device with polyethylene fibers, was approved for use as a method of female sterilization by the FDA in 2002. The device is placed transcervically with a
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Unformatted text preview: hysteroscope so that it lies within the proximal segments of the fallopian tubes. A fibrotic tissue growth reaction is stimulated, effectively causing occlusion of the tubes. A hysterosalpingogram should be done at 3 months after placement to confirm complete occlusion. Backup contraception should be used until then. Essure placement is associated with short-term pregnancy failure rates comparable to other sterilization methods. Source: 1. Levine JP, Mravcak S, Wu J., Contraception: Sterilization. In: Textbook of Family Medicine, 7 th ed. Philadelphia, PA: Saunders Elsevier, Inc. 2007.: Accessed 01/19/2011. http :// www . mdconsult . com / books / page . do ? eid =4-u 1.0-B 978-1-4160-2467-5. .50039-7--cesec 91& isbn =978-1-4160-2467-5& sid =1106829286& type = bookPage & sectionEid =4-u 1.0-B 978-1-4160-2467-5..50039-7--cesec 92& uniqId =233137478-3 -...
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This note was uploaded on 02/18/2012 for the course PAS 600 - 601 taught by Professor Garrubba during the Fall '10 term at Chatham University.

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