Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Comparing Safety Outcomes of Female Sterilization

Contraception; ePub 2017 Feb 20; Westberg, et al

With only a small increase in surgical time, laparoscopic salpingectomy is a safe alternative to tubal occlusion for female sterilization, a recent study found. Women having laparoscopic sterilization were identified between July 1, 2011 and June 30, 2015, and immediate and short-term complications and surgical times were compared with tubal occlusions. Researchers found:

  • 149 total procedures included 81 salpingectomies and 68 tubal occlusions.
  • Salpingectomy and occlusion procedures had similar immediate (2.5% vs 2.9%) and short-term (4.9% vs 14.7%) complication rates.
  • Surgical time averaged 6 minutes longer for salpingectomies vs occlusion procedures.
  • There was no evidence of increased complications with salpingectomy vs occlusion procedures.

Citation:

Westberg J, Scott F, Creinin MD. Safety outcomes of female sterilization by salpingectomy and tubal occlusion. [Published online ahead of print February 20, 2017]. Contraception. doi:10.1016/j.contraception.2017.02.017.