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  • Title: Silicone rings, metal, plastic clips may eliminate cautery hazards in laparoscopic sterilization.
    Journal: Int Fam Plann Dig; 1975 Sep; 1(3):3-4. PubMed ID: 12307395.
    Abstract:
    The use of silicone rings and metal or plastic clips in laparoscopic sterilization is discussed. Sterilization by these techniques eliminate s the risk of accidental burns associated with electrocautery methods. Nonetheless, accidental tubal transection and abdominal pain are potential complications of the ring technique. The incidence of the latter, however, can be markedly reduced by the application of xylocaine jelly to the ring prior to the operation. Experience with the clip technique has shown the procedure to involve more operative difficulties than coagulation techniques. Pelvic pain with the clip technique is reportedly more common than with the electrocautery procedure, while chest or shoulder pain is more frequent with the latter technique. Complication rates for the cautery, clip, and ring methods are similar, though technical difficulties and failures are more common with spring-loaded clips. Trials have shown the laparoscopic approach to sterilization to be safer than other interval sterilization techniques.
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