J Reprod Med
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Review Comparative Study
Laparoscopic sterilization. A comparison of current techniques.
Current techniques of laparoscopic sterilization--bipolar electrocoagulation, endocoagulation, silicone ring, Hulka clip and Filshie clip--were analyzed from a large pool of international data. Technical difficulties have been encountered much less with electrocoagulation than with the silicone ring, Hulka clip or Filshie clip. There have been fewer technical failures with bipolar electrocoagulation and endocoagulation than with the ring or clip. ⋯ The pregnancy rates after reversal surgery have been highest with the Hulka and Filshie clip. Electrical methods seem to be preferable in women with pelvic adhesions and tubal pathology. Clips seem to be preferable in women who may be candidates for future sterilization reversal.