Klumper F, Peters A A
Academisch Ziekenhuis, afd. Gynaecologie, Leiden.
Ned Tijdschr Geneeskd. 1991 Feb 9;135(6):233-5.
Almost twenty thousand laparoscopic sterilizations are performed in the Netherlands yearly. The use of clips (Filshie clips) is increasingly common and has replaced coagulation in many institutes. In spite of the fact that the method is known to provide a permanent form of contraception, women and gynaecologists are uneasy about the method, as a result of the publicity around some pregnancies having occurred after tubal sterilisation and the ensuing liability suits. The laparoscopic findings in two patients with migrating clips are presented. It is indicated how accuracy and documentation of the laparoscopic sterilisation may be increased. This is of utmost importance in view of the legal consequences of failure.
荷兰每年进行近两万例腹腔镜绝育手术。夹子（菲尔希夹子）的使用越来越普遍，在许多机构已取代了凝固法。尽管已知该方法能提供一种永久性避孕方式，但由于输卵管绝育术后出现一些妊娠情况的宣传以及随之而来的责任诉讼，女性和妇科医生对该方法仍感到不安。本文介绍了两名夹子移位患者的腹腔镜检查结果。还指出了如何提高腹腔镜绝育术的准确性和记录。鉴于手术失败的法律后果，这至关重要。
