Laparoscopic Sterilization with the Falope‐RingR

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Abstract
Following 189 laparoscopic sterilizations with the Falope-ring, 33 cases of peroperative complications were registered. Laparotomy was required in 1 case. Sterilization undertaken in connection with termination of pregnancy was not associated with more peroperative complications than sterilization performed during an interval phase. In a randomized trial comprising 100 women it was not possible to demonstrate that application of lidocaine to the tube reduced the incidence of immediate postoperative abdominal pain which occurred in 18% of the women in the control group. A follow-up investigation of 91 women revealed change in bleeding pattern in 32% of low abdominal pain de novo in 40%. The frequencies of changes in bleeding pattern and of low abdominal pain were greater in women who had previously employed oral contraception than in women who had not done so. A questionnaire investigation comprising 169 women revealed that 38% had developed 1 or more of the following symptoms: hot flushes, tendency to depression and irritability, and tachycardia. Alterations in libido were found in 26%; 2% regretted the sterilization. One pregnancy occurred in 172 sterilized women after an average observation period of 13 mo.

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