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Tubal Ligation

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1. Interventions for intra-operative pain relief during postpartum mini-laparotomy tubal ligation. Full Text available with Trip Pro

Interventions for intra-operative pain relief during postpartum mini-laparotomy tubal ligation. Postpartum mini-laparotomy tubal ligation (PPTL) is a contraceptive method that works by interrupting the patency of the fallopian tubes. Several methods are used for intraoperative pain relief, such as systemic administration of opioids or intraperitoneal instillation of lidocaine.To evaluate the effectiveness of and adverse effects associated with interventions for pain relief in women undergoing (...) instillation of lidocaine may reduce the number of women requiring additional pain control when compared to placebo (RR 0.27, 95% CI 0.17 to 0.44, three studies, 190 women, low-certainty evidence).An intraperitoneal instillation of lidocaine during postpartum mini-laparotomy tubal ligation before fallopian tubes were tied may offer better intraperitoneal pain control, although the evidence regarding adverse effects is uncertain. We found no clear difference in intraperitoneal pain between women who

2019 Cochrane

2. Salpingectomy Compared With Tubal Ligation at Cesarean Delivery: A Randomized Controlled Trial (Abstract)

Salpingectomy Compared With Tubal Ligation at Cesarean Delivery: A Randomized Controlled Trial To estimate whether performance of salpingectomy compared with standard tubal ligation for sterilization at the time of cesarean delivery increases operating time or complication rates.A randomized controlled noninferiority trial was performed at a single academic institution. Women undergoing planned cesarean delivery who desired sterilization were randomized to salpingectomy or standard tubal (...) ligation. The primary outcome was length of time of the sterilization procedure, with the noninferiority margin set at 5 minutes. With a one-sided independent sample t test, to achieve a power of 90% with an α of 0.05, 18 women needed to complete each intervention.Forty-four women were enrolled, with 19 successfully undergoing salpingectomy and 18 undergoing standard tubal ligation. Salpingectomy could not be completed in 1 of 20 patients (as a result of adhesions). Baseline demographics were

2018 EvidenceUpdates

3. Feasibility of Complete Salpingectomy Compared With Standard Postpartum Tubal Ligation at Cesarean Delivery: A Randomized Controlled Trial Full Text available with Trip Pro

Feasibility of Complete Salpingectomy Compared With Standard Postpartum Tubal Ligation at Cesarean Delivery: A Randomized Controlled Trial To evaluate the feasibility of salpingectomy compared with standard bilateral tubal ligation at the time of cesarean delivery in women with undesired fertility.We included women at 35 weeks of gestation or greater desiring permanent sterilization at the time of cesarean delivery. Patients were randomized after skin incision to bilateral salpingectomy (...) or bilateral tubal ligation by a computer-generated scheme. If salpingectomy could not be completed on one or both sides, bilateral tubal ligation was attempted. Primary feasibility outcomes were total operative time and bilateral completion of the randomized procedure. Secondary outcomes included clinically estimated blood loss and surgical complications up to 6 weeks postpartum. We estimated that 80 patients (40 per group) would provide greater than 80% power to identify a 10-minute difference

2018 EvidenceUpdates

4. Relationship between body mass index and operative time in women receiving immediate postpartum tubal ligation. (Abstract)

Relationship between body mass index and operative time in women receiving immediate postpartum tubal ligation. The aim of the study was to (1) assess the relationship between body mass index (BMI) and operative time during immediate postpartum tubal ligation procedures and to (2) determine whether operative time is non-inferior in women with BMI ≥30 versus women with BMI <30 and in women with BMI ≥40 versus women with BMI <40.We conducted a retrospective cohort study of women who received (...) immediate postpartum tubal ligations following vaginal delivery from 2013 to 2017 at a university hospital. We abstracted demographic information, patient and procedural characteristics, and clinical outcomes. We assessed the relationship between BMI and operative time via linear regression. We also conducted non-inferiority analysis to determine whether the mean operative time in women with BMI ≥30 was non-inferior to the mean operative time in women with BMI <30, within a non-inferiority margin of 10

2019 Contraception

5. Tubal Ligation and Age at Natural Menopause. (Abstract)

Tubal Ligation and Age at Natural Menopause. To determine the effect of tubal ligation on age at natural menopause, as a marker of long-term ovarian function.Three preexisting population-based cohorts were included in this cross-sectional study. Data from each cohort was analyzed separately. The cohorts were restricted to women who never smoked and had reached natural menopause, without prior hysterectomy or oophorectomy. The following variables were collected: race, age at menarche, age (...) at menopause, history of hysterectomy or oophorectomy, gravidity and parity, tobacco use, and ever use of hormonal contraception. The type of tubal ligation and age at tubal ligation were manually abstracted in cohort 1. For cohorts 2 and 3, history of tubal ligation was obtained from an institutional form, completed by patient report. The primary outcome, age at natural menopause, was compared between the two groups (those with and without a history of tubal ligation).Inclusion criteria was met by 555

2019 Obstetrics and Gynecology

6. Tubal ligation and endometrial Cancer risk: a global systematic review and meta-analysis. Full Text available with Trip Pro

Tubal ligation and endometrial Cancer risk: a global systematic review and meta-analysis. Studies on relationship between tubal ligation and endometrial cancer have led to contradictory findings. In several studies, however, a reduced endometrial cancer risk was suggested following tubal ligation. Therefore, a systematic review and meta-analysis was conducted to examine the relationship between tubal ligation and endometrial cancer risk.In this systematic review and meta-analysis, PubMed (...) /Medline, Web of Science, Scopus, Embase, and Google Scholar were searched for relevant studies published up to May 30th, 2018. We compared endometrial cancer risk in women with and without tubal ligation in retrieved studies.Two hundred nine studies were initially retrieved from the data bases. After exclusion of duplicates and studies which did not meet inclusion criteria, ten cohort and case-control studies, including 6,773,066 cases, were entered into the quantitative meta-analysis. There was 0.90

2019 BMC Cancer

7. Cost-effectiveness of opportunistic salpingectomy versus tubal ligation at the time of cesarean delivery. Full Text available with Trip Pro

Cost-effectiveness of opportunistic salpingectomy versus tubal ligation at the time of cesarean delivery. Removal of the fallopian tubes at the time of hysterectomy or interval sterilization has become routine practice to prevent ovarian cancer. While emerging as a strategy, uptake of this procedure at the time of cesarean delivery for pregnant women seeking permanent sterilization has not been widely adopted due to perceptions of increased morbidity and operative difficulty with a lack (...) of available data in this setting.We sought to conduct a cost-effectiveness analysis comparing strategies for long-term sterilization and ovarian cancer risk reduction at the time of cesarean delivery, including bilateral tubal ligation, opportunistic salpingectomy, and long-acting reversible contraception.A decision-analytic and cost-effectiveness model was constructed for pregnant women undergoing cesarean delivery who desired permanent sterilization in the US population, comparing 3 strategies: (1

2018 American Journal of Obstetrics and Gynecology

8. Papillary Cystadenoma: An Incidental Finding in Tubal Ligation Full Text available with Trip Pro

Papillary Cystadenoma: An Incidental Finding in Tubal Ligation von Hippel-Lindau disease (vHLD) is a rare autosomal dominant disorder with multiple benign and malignant tumors of different organs. We report a papillary cystadenoma of the mesosalpinx found in close association with an adenomatoid tumor discovered incidentally following tubal ligation in a patient with vHLD.

2018 Case reports in obstetrics and gynecology

9. The cost-effectiveness of opportunistic salpingectomy versus standard tubal ligation at the time of cesarean delivery for ovarian cancer risk reduction. Full Text available with Trip Pro

The cost-effectiveness of opportunistic salpingectomy versus standard tubal ligation at the time of cesarean delivery for ovarian cancer risk reduction. Opportunistic salpingectomy is a cost-effective strategy recommended for ovarian cancer (OvCa) risk reduction at the time of gynecologic surgery in women who have completed childbearing. We aimed to evaluate the cost-effectiveness of opportunistic salpingectomy compared to standard tubal ligation (TL) during cesarean delivery.A cost

2018 Gynecologic Oncology

10. The comparison of the degree of apoptosis in ovaries and fallopian tubes between two different surgical interventions for tubal ligation: A rat model Full Text available with Trip Pro

The comparison of the degree of apoptosis in ovaries and fallopian tubes between two different surgical interventions for tubal ligation: A rat model To compare the degree of apoptosis in ovaries and tubal epithelium observed secondary to tubal ligation either by Pomeroy's method or bipolar electrocauterization in a rat model.A total of 24 female Sprague-Dawley rats were randomly assigned into 3 study groups: control (n=8), Pomeroy (n=8), and the electrocauterization group (n=8). Apoptotic (...) cells were detected on the primary, secondary, tertiary follicles of the ovaries, and on the tubal epithelium using terminal deoxynucleotidyl transferase-mediated deoxyuridine triphosphate nick end-labeling. The apoptotic index was calculated for each group by the percentage of the stained cells.The apoptotic index of tubal epithelium was significantly higher in the bipolar electrocauterization group compared with the control and Pomeroy groups (3.1±0.8 vs. 1.4±1.0, p=0.018 and 2.0±1.2, p=0.03

2018 Journal of the Turkish German Gynecological Association

11. Never say never in medicine: successful pregnancy in a hemodialysis patient despite tubal ligation Full Text available with Trip Pro

Never say never in medicine: successful pregnancy in a hemodialysis patient despite tubal ligation 29388170 2018 11 13 2192-4449 7 1 2018 May CEN case reports CEN Case Rep Never say never in medicine: successful pregnancy in a hemodialysis patient despite tubal ligation. 183-184 10.1007/s13730-018-0313-6 Khan Roohan R Division of Nephrology, Hypertension and Renal Transplantation, University of Florida, Gainesville, USA. Punjab Medical College, Faisalabad, Pakistan. Ejaz A Ahsan AA Division

2018 CEN Case Reports

12. Evaluation of the Neural Therapy Effect on Long Term Postoperative Discomforts in Patients Who Undergo Bilateral Tubal Ligation

Evaluation of the Neural Therapy Effect on Long Term Postoperative Discomforts in Patients Who Undergo Bilateral Tubal Ligation Evaluation of the Neural Therapy Effect on Long Term Postoperative Discomforts in Patients Who Undergo Bilateral Tubal Ligation - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached (...) the maximum number of saved studies (100). Please remove one or more studies before adding more. Evaluation of the Neural Therapy Effect on Long Term Postoperative Discomforts in Patients Who Undergo Bilateral Tubal Ligation The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT03761862 Recruitment Status

2018 Clinical Trials

13. The Association between Endometriosis, Tubal Ligation, Hysterectomy and Epithelial Ovarian Cancer: Meta-Analyses. Full Text available with Trip Pro

The Association between Endometriosis, Tubal Ligation, Hysterectomy and Epithelial Ovarian Cancer: Meta-Analyses. To investigate the association between endometriosis, tubal ligation, hysterectomy and epithelial ovarian cancer. Relevant published literatures were searched in PubMed, ProQuest, Web of Science and Medline databases during 1995-2016. Heterogeneity was evaluated by I² statistic. Publication bias was tested by funnel plot and Egger's test. Odds ratio and 95% CI were used to assess (...) the association strength. The statistical analyses in this study were accomplished by STATA software package. A total of 40,609 cases of epithelial ovarian cancer and 368,452 controls in 38 publications were included. The result suggested that endometriosis was associated with an increased risk of epithelial ovarian cancer (OR = 1.42, 95% CI = 1.28-1.57), tubal ligation was associated with a decreased risk of epithelial ovarian cancer (OR = 0.70, 95% CI = 0.60-0.81), while hysterectomy show no relationship

2017 International journal of environmental research and public health

14. Safety of tubal ligation by minilaparotomy provided by clinical officers versus assistant medical officers: study protocol for a noninferiority randomized controlled trial in Tanzanian women Full Text available with Trip Pro

Safety of tubal ligation by minilaparotomy provided by clinical officers versus assistant medical officers: study protocol for a noninferiority randomized controlled trial in Tanzanian women Female sterilization by tubal ligation is a safe, extremely effective, and permanent way to limit childbearing. It is the most popular modern contraceptive method worldwide. The simplest way to provide tubal ligation is by a procedure called minilaparotomy, generally performed with the client under local (...) anesthesia with systemic sedation and analgesia. In Tanzania, unmet need for family planning is high and has declined little in the past decade. Access to tubal ligation is limited throughout the country, in large part because of a lack of trained providers. Clinical officers (COs) are midlevel health workers who provide diagnosis, treatment, and minor surgeries. They are more prevalent than physicians in poorer and rural communities. Task shifting-the delegation of some tasks to less-specialized health

2017 Trials Controlled trial quality: predicted high

15. Correction to: Trends in use of and complications from intrauterine contraceptive devices and tubal ligation or occlusion Full Text available with Trip Pro

Correction to: Trends in use of and complications from intrauterine contraceptive devices and tubal ligation or occlusion 28985748 2018 11 13 1742-4755 14 1 2017 10 06 Reproductive health Reprod Health Correction to: Trends in use of and complications from intrauterine contraceptive devices and tubal ligation or occlusion. 126 10.1186/s12978-017-0386-2 Howard Brandon B Teva Global Medical Affairs, 41 Moores Road, Frazer, PA, 19355, USA. Brandihoward@gmail.com. Grubb ElizaBeth E Teva Global

2017 Reproductive health

16. Trends in use of and complications from intrauterine contraceptive devices and tubal ligation or occlusion Full Text available with Trip Pro

Trends in use of and complications from intrauterine contraceptive devices and tubal ligation or occlusion Long-acting reversible contraceptives such as intrauterine devices (IUDs) are highly effective in preventing pregnancy, cost effective, and increasing in popularity. It is unclear whether changes in IUD use are associated with changes in rates of irreversible tubal sterilization. In this analysis, we evaluate changes in rates of tubal sterilization, insertion of copper or levonorgestrel (...) (LNG) IUDs, and related complications over time.Data were obtained from a retrospective claims database (OptumTM ClinformaticsTM Data Mart) of women aged 15 to 45 years who underwent insertion of copper or LNG IUD or tubal sterilization between 1/1/2006 and 12/31/2011. Outcomes of interest included annual rates of insertion or sterilization and annual rates of potential complications and side effects.The number of women included in the analysis each year ranged from 1,870,675 to 2,016,916. Between

2017 Reproductive health

17. Standard Tubal Ligation Versus Salpingectomy for Sterilization at the Time of Cesarean Delivery

Standard Tubal Ligation Versus Salpingectomy for Sterilization at the Time of Cesarean Delivery Standard Tubal Ligation Versus Salpingectomy for Sterilization at the Time of Cesarean Delivery - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one (...) or more studies before adding more. Standard Tubal Ligation Versus Salpingectomy for Sterilization at the Time of Cesarean Delivery The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT03028623 Recruitment Status : Completed First Posted : January 23, 2017 Last Update Posted : April 10, 2018 Sponsor

2017 Clinical Trials

18. Ovarian reserve Following Cesarean-delivery with Salpingectomy Versus Tubal Ligation - a Randomized Trial. (Abstract)

Ovarian reserve Following Cesarean-delivery with Salpingectomy Versus Tubal Ligation - a Randomized Trial. Epithelial ovarian cancer is assumed to derive from the fallopian tube. Salpingectomy has been previously demonstrated to reduce the risk of ovarian cancer, and may be used as a means of sterilization.We aimed to compare short-term ovarian reserve and operative complications in cases of salpingectomy and tubal ligation during cesarean section.Study patients who underwent elective cesarean (...) section at our institution and requested sterilization were randomized to bilateral salpingectomy or tubal ligation. Prior to surgery, blood samples were obtained for antimüllerian hormone. Surgical course was noted, including overall time, complications, and postoperative hemoglobin. Repeat antimüllerian hormone samples were obtained from patients 6-8 weeks following surgery.In all, 46 patients were recruited for participation, of whom 33 completed a follow-up visit, and for whom repeat antimüllerian

2017 American Journal of Obstetrics and Gynecology Controlled trial quality: uncertain

19. Tubal Ligation

Tubal Ligation Tubal Ligation Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Tubal Ligation Tubal Ligation Aka: Tubal Ligation (...) year cummulative failure rate: 0.5% Small study (n=200) Filshie (1998) ISGE 7th annual meeting, South Africa VI. Complications: Acute short-term Overall rates Mortality: 1-2 per 100,000 Major complications: <0.5% of procedures to contiguous organs (e.g. , bowel) Anesthesia complications VII. References Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Tubal Ligation." Click on the image (or right click) to open the source website

2018 FP Notebook

20. Cost and efficacy comparison of in vitro fertilization and tubal anastomosis for women after tubal ligation. Full Text available with Trip Pro

Cost and efficacy comparison of in vitro fertilization and tubal anastomosis for women after tubal ligation. To compare cost and efficacy of tubal anastomosis to in vitro fertilization (IVF) in women who desired fertility after a tubal ligation.Cost-effectiveness analysis.Not applicable.Not applicable.Not applicable.Cost per ongoing pregnancy.Cost per ongoing pregnancy for women after tubal anastomosis ranged from $16,446 to $223,482 (2014 USD), whereas IVF ranged from $32,902 to $111,679 (2014 (...) USD). Across maternal age groups <35 and 35-40, years tubal anastomosis was more cost effective than IVF for ongoing pregnancy. Sensitivity analyses validated these findings across a wide range of ongoing pregnancy probabilities as well as costs per procedure.Tubal anastomosis was the most cost-effective approach for most women less than 41 years of age, whereas IVF was the most cost-effective approach for women aged ≥41 years who desired fertility after tubal ligation. A model was created

2015 Fertility and Sterility

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