PMID- 20012304
OWN - NLM
STAT- MEDLINE
DCOM- 20100805
LR  - 20100504
IS  - 1432-0711 (Electronic)
IS  - 0932-0067 (Linking)
VI  - 281
IP  - 6
DP  - 2010 Jun
TI  - Pomeroy technique or Filshie clips for postpartum sterilisation? Retrospective 
      study on comparison between Pomeroy procedure and Filshie clips for a tubal 
      occlusion at the time of Caesarean section.
PG  - 1073-5
LID - 10.1007/s00404-009-1314-7 [doi]
AB  - OBJECTIVE: To compare the failure rate (pregnancies) of a Pomeroy procedure and 
      Filshie clips tubal occlusion at the time of Caesarean section. METHOD: This is a 
      retrospective observational study done in a district general hospital in the UK. 
      There were 290 sterilisations performed at the time of Caesarean section over the 
      period of 1994-2007. Studied population included 203 Pomeroy procedures and 87 
      Filshie clips applications. Follow-up period ranged from 2 to 15 years. A birth 
      register and an operating theatre database were used to identify patients who 
      underwent Caesarean section with a tubal occlusion. These patients' names were 
      checked against the antenatal booking database, the early pregnancy assessment 
      unit database, the operating theatre database in case of ectopic pregnancies, and 
      a termination of pregnancy database to recognise failed sterilisation. RESULTS: 
      There was no failure of tubal occlusion with a Pomeroy procedure (0/203). The 
      failure rate of Filshie clips tubal occlusion was 1.15% (1/87) (p = 0.3). The 
      length of the follow-up period ranged from 2 to 15 years (for Pomeroy procedure, 
      median was 9 years and inter-quartile range (IQR) was 7; for Filshie clip, median 
      was 8 years and IQR was 7). CONCLUSION: Pomeroy technique appears to carry a 
      lower risk of a failed sterilisation than Filshie clips tubal occlusion at the 
      time of Caesarean section. However, Pomeroy procedure needs to be balanced 
      against the speed and simplicity of Filshie clips tubal occlusion.
FAU - Oligbo, Nicholas
AU  - Oligbo N
AD  - Department of Obstetrics and Gynaecology, James Paget University Hospital, 
      Gorleston, UK.
FAU - Revicky, Vladimir
AU  - Revicky V
FAU - Udeh, Rebecca
AU  - Udeh R
LA  - eng
PT  - Comparative Study
PT  - Journal Article
DEP - 20091211
PL  - Germany
TA  - Arch Gynecol Obstet
JT  - Archives of gynecology and obstetrics
JID - 8710213
SB  - IM
MH  - Cesarean Section
MH  - Female
MH  - Humans
MH  - Pregnancy
MH  - Retrospective Studies
MH  - Sterilization, Tubal/*methods
MH  - Surgical Instruments
EDAT- 2009/12/17 06:00
MHDA- 2010/08/06 06:00
CRDT- 2009/12/17 06:00
PHST- 2009/07/01 00:00 [received]
PHST- 2009/11/26 00:00 [accepted]
PHST- 2009/12/17 06:00 [entrez]
PHST- 2009/12/17 06:00 [pubmed]
PHST- 2010/08/06 06:00 [medline]
AID - 10.1007/s00404-009-1314-7 [doi]
PST - ppublish
SO  - Arch Gynecol Obstet. 2010 Jun;281(6):1073-5. doi: 10.1007/s00404-009-1314-7. Epub 
      2009 Dec 11.