Female Sterilisation

Question 1

Where should the filshie clips be placed?

Answer 1

At the isthmus portion of the fallopian tube (1-2cm from the cornua)

Question 2

What is the failure rate of laparoscopic female sterilisation?

Answer 2

2-5 in 1000 over 10 years

Question 3

What is the risk of blood vessel or visceral injury at laparoscopic sterilisation?

Answer 3

2 in 1000

Question 4

What is the risk of death by laparoscopic female sterilisation?

Answer 4

1 in 12000

Question 5

What patient factors make regret more common following laparoscopic sterilisation?

Answer 5

Age under 30, nulliparous, conflict with partner, performed at the time of abortion or c-section

Question 6

What is the risk of conversion to laparotomy at time of female sterilisation?

Answer 6

3 in 1000

Question 7

What is the failure rate of male sterilisation?

Answer 7

1 in 2000

Question 8

What do you need to ensure around the time of laparoscopic sterilisation regarding contraception?

Answer 8

That the patient has been using contraception (if a coil is in situ, it may be appropriate to leave in situ until after the procedure to avoid a blastocyst implanting that has already entered the endometrial cavity) and that she uses effective contraception until her next menstrual period