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Tubal Sterilization (Tubal Ligation)

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Procedures that render the female sterile by interrupting the flow in the FALLOPIAN TUBE. These procedures generally are surgical, and may also use chemicals or physical means.

Also Known As:

Tubal Ligation; Sterilization, Tubal; Aldridge Procedure; Chemical Tubal Occlusion; Cooke Method; Cornual Coagulation; Fimbriectomy; Irving Method; Kroener Fimbriectomy; Kroener Method; Madlener Method; Nonchemical Tubal Occlusion; Occlusion, Chemical Tubal; Occlusion, Nonchemical Tubal; Pomeroy Method; Pomeroy Sterilization; Tubal Excision; Tubal Occlusion; Tubal Occlusion, Chemical; Tubal Occlusion, Nonchemical; Tubal Rings; Uchida Method; Chemical Tubal Occlusions; Coagulations, Cornual; Cornual Coagulations; Fimbriectomies; Fimbriectomy, Kroener; Ligations, Tubal; Nonchemical Tubal Occlusions; Ring, Tubal; Rings, Tubal; Sterilization, Pomeroy; Sterilizations, Tubal; Tubal Excisions; Tubal Ligations; Tubal Occlusions; Tubal Occlusions, Chemical; Tubal Occlusions, Nonchemical; Tubal Ring; Tubal Sterilizations; Ligation, Tubal

Networked: 1039 relevant articles (26 outcomes, 99 trials/studies)

Relationship Network

Therapy Context: Research Results

Operative Surgical Procedures: 8
- Urogenital Surgical Procedures
  - Gynecologic Surgical Procedures: 951
    - Tubal Sterilization: 1039
  - Reproductive Sterilization: 55
    - Tubal Sterilization: 1039

Experts

1.	Ness, Roberta B: 14 articles (04/2015 - 02/2002)
2.	Modugno, Francesmary: 9 articles (04/2015 - 08/2002)
3.	Cramer, Daniel W: 9 articles (11/2013 - 02/2002)
4.	Wu, Anna H: 6 articles (07/2015 - 02/2002)
5.	Tworoger, Shelley S: 6 articles (07/2014 - 10/2007)
6.	Goodman, Marc T: 6 articles (05/2013 - 02/2002)
7.	Schildkraut, Joellen M: 5 articles (04/2015 - 09/2004)
8.	Terry, Kathryn L: 5 articles (11/2013 - 04/2013)
9.	Pike, Malcolm C: 4 articles (07/2015 - 04/2013)
10.	Berchuck, Andrew: 4 articles (04/2015 - 09/2009)

Related Diseases

1.	Pain (Aches) 07/01/2014 - "A stratified analysis of trials including ring tubal ligation compared with clip tubal ligation showed the use of local anesthetic decreased pain substantially for both. " 01/01/2014 - "Vocal local versus pharmacological treatments for pain management in tubal ligation procedures in rural Kenya: a non-inferiority trial." 01/01/2012 - "To review all randomized controlled trials that evaluated interventions to decrease pain during tubal sterilization by hysteroscopy. " 08/01/2008 - "The study indicates that pre-surgical pain and heat pain sensitivity are important pre-operative indicators of post-operative pain intensity, while psychological factors like vulnerability and anxiety seem to contribute to a lesser degree after laparoscopic tubal ligation. " 11/01/1989 - "The results showed that pain is a significant problem after tubal ligation although pain rating scores over the 7-day study period were lower than those reported after major abdominal surgery. "
2.	Ectopic Pregnancy 01/01/2001 - "The purpose of this report is to compare the echogenicity of the tubal ring of an ectopic pregnancy and the corpus luteum with that of the ovary for improved detection of early ectopic pregnancy. " 04/01/1983 - " Intrauterine pregnancies and ectopic pregnancies are 2 concerns regarding the efficacy of tubal sterilization. " 07/01/2014 - "This study identified prior ectopic pregnancy, prior tubal ligation, use of intrauterine device, and prior pelvic/abdominal surgery as the main risk factors for ectopic pregnancy in a sample of Iranian women. " 03/01/2014 - "Long-term risk of ectopic pregnancy varies by method of tubal sterilization: a whole-population study." 01/01/2004 - "This study compared the utility of various sonographic features in differentiating between the tubal ring of ectopic pregnancy and the corpus luteum. "
3.	Infertility (Sterility) 01/01/2009 - "With good case selection, therapeutic hydrotubation may be beneficial in resource poor countries, especially in patients with incomplete tubal occlusion (bilateral perifimbrial adhesions) and as part of treatment for unexplained infertility." 02/01/1999 - "However, since spontaneous intrauterine pregnancies occurred even in patients with bilateral tubal occlusion at laparoscopy, this technique should not be considered the gold standard in the diagnosis of tubal infertility." 01/01/2015 - "The study group consisted of 15 patients who underwent surgery for adnexal masses and infertility, while the control group consisted of ten women who underwent surgery for tubal ligation. " 07/01/2014 - "This study investigated the use of hysteroscopic Essure device placement for the treatment of hydrosalpinx-related infertility in patients with laparoscopic contraindications and compared their pregnancy outcomes following assisted conception treatment with those of patients having had laparoscopic tubal ligation. " 05/01/2014 - "This study suggests the effectiveness of unilateral tubal occlusion caused by Essure® microinsert in improving outcomes of in vitro fertilization treatment in cases of infertility associated with unilateral hydrosalpinx, visible in the vaginal ultrasound. "
4.	Ovarian Neoplasms (Ovarian Cancer) 04/01/2013 - "These findings provide insights into distinct aetiologies of ovarian cancer subtypes and mechanisms underlying the protective effects of tubal ligation." 04/01/2013 - "We found that the protective effects of tubal ligation on ovarian cancer risk were subtype-specific. " 12/01/2015 - "This column takes a second look at two recent research studies that examine salpingectomy and tubal ligation/sterilization as a method of ovarian cancer risk reduction. " 07/01/2014 - "Tubal ligation, hysterectomy, unilateral oophorectomy, and risk of ovarian cancer in the Nurses' Health Studies." 04/01/2013 - "We undertook an international collaborative study to examine the association between tubal ligation and ovarian cancer subtypes. "
5.	Postoperative Pain 01/01/2013 - "KARS for tubal sterilization seems safe and effective in terms of cosmesis, postoperative pain, and early hospital discharge." 01/01/2015 - " morbidity was statistically significantly higher with the tubal ring than the clip (Peto OR 2.15, 95% CI 1.22 to 3.78; participants = 842; studies = 2; I² = 0%; high-quality evidence), as were technical failures (Peto OR 3.93, 95% CI 2.43 to 6.35; participants = 3476; studies = 3; I² = 0%; high-quality evidence).Major morbidity was significantly higher with the modified Pomeroy technique than electrocoagulation (Peto OR 2.87, 95% CI 1.13 to 7.25; participants = 1905; studies = 2; I² = 0%; low-quality evidence), as was postoperative pain (Peto OR 3.85, 95% CI 2.91 to 5.10; participants = 1905; studies = 2; I² = 0%; moderate-quality evidence).When tubal rings were compared with electrocoagulation, postoperative pain was reported significantly more frequently for tubal rings (OR 3.40, 95% CI 1.17 to 9.84; participants = 596; studies = 2; I² = 87%; low-quality evidence).When partial salpingectomy was compared with clips, there were no major morbidity events in either group (participants = 2198, studies = 1). " 07/01/2014 - "We included only randomized, double-blind, placebo-controlled trials reporting postoperative pain after interval laparoscopic tubal ligation under general anesthesia (n=20). " 01/01/2015 - "Electrocoagulation may be associated with less postoperative pain than the modified Pomeroy or tubal ring methods. " 07/01/2014 - "Use of local anesthetic during laparoscopic tubal ligation substantially reduces postoperative pain up to 8 hours after surgery."

Related Drugs and Biologics

1.	Lidocaine (Xylocaine)
2.	Oral Contraceptives
3.	Sodium
4.	Morphine (MS Contin)
5.	Ketoprofen (Orudis)
6.	Butylscopolammonium Bromide (Butylscopolamine)
7.	Copper
8.	Hetastarch (Pentastarch)
9.	Droperidol
10.	Analgesics (Analgesic Drugs)

Related Therapies and Procedures

1.	Spinal Anesthesia
2.	Contraception (Birth Control)
3.	Ligation
4.	Cesarean Section (Caesarean Section)
5.	Diathermy