A five year experience with laparoscopic falope ring sterilization.

This report presents the results of a 5-year series of Laparoscopic Falope Ring tubal sterilizations performed consecutively at a private hospital by the author. It was seen that no special requirements for patient selection were necessary and previous abdominal surgery was not a contraindication for the operation. Laparoscopic tubal occlusions were accomplished in all but one of the 447 cases and banding was not attempted in this case because of bilateral hydrosalpinges. After follow-up of 6 months to 5.5 years, there have been no pregnancies other than one well documented luteal phase pregnancy. The few complications encountered were mostly of a technical nature and considered minor. With 90% of the patients available for follow-up there has been no evidence of long-term adverse effects such as menstrual dysfunction. Thus Laparoscopic tubal occlusion is seen to be a safe, simple and effective means of female sterilization which can be performed by gynecologists trained in laparoscopy.