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Sterilization
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Question | Answer |
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What are the various fallopian tube sterilization techniques? | Pomeroy, Kroner, Falope ring, Hulka, Wheeless |
Describe briefly Pomeroy technique | section of fallopian tube taken and sutured. knuckle of fallopian tube left removed |
Describe kroner | fimbriectomy with tying of fallopian stump |
describe hulka | silastic metallic clip used to occlude fallopian tube. best chance for reanastamosis |
describe wheeless | electocautery used to remove part of tube |
describe falope ring | silastic band placed around knuckle of fallopian tube. knuckle not excised |
what 2 things would u want a patient to know about these procedures | difficult to reverse, risk of failure, risk of ectopic pregnancy if failure occurs, alternative for long term contraception |
What are the different methods of female sterilization? | Fallopian: Ligation, salpingectomy, electrocautery, falope rings, clips, laser, sclerosing agents (essure, quinacrine), intratubal plugging devices |
2 ways in which procedure can fail | recanalization leading to intrauterine pregnancy, ectopic pregnancy |