A preliminary and intermediate report on a new laparoscopic tubal ring procedure.

A preliminary report is given of a new laparoscopic sterilization technique utilizing silicone rubber rings. A description of the laparoscopic silicone ring applicator and its operative utilization is provided. This technique eliminates the need for thermoenergy to insure tubal destruction and thus removes the cause of intestinal burns. The potential for successful future recannulization procedures should be greater with this procedure. This operation can be performed with a single or double puncture technique; in addition, it can be performed with a suprapubic or vaginal approach. Three hundred one cases have been completed without incurring major problems. No statement can be made at this time about the incidence of failure.