Best Practices for Female Sterilization in 2012 and Beyond | MDedge

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Best Practices for Female Sterilization in 2012 and Beyond

Female sterilization remains the leading contraceptive choice for women in the United States who do not plan future childbearing, with over 40% choosing this option.¹ While different techniques for obtaining tubal occlusion have been developed over the years, including using monopolar or bipolar electrosurgery, rings, or clips, these procedures all require entry into the peritoneal cavity using a transabdominal approach. Data from the US Collaborative Review of Sterilization, also known as the CREST study have examined both the failure and complication rates related to various sterilization techniques.

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Mark D. Levie, MD, Associate Chairman, Fellowship Director in Advanced Endoscopic Surgery, Montefiore Medical Center; Associate Professor, Albert Einstein College of Medicine of Yeshiva University, Bronx, NY.

Frank W. Ling, MD, Clinical Professor, Department of Obstetrics and Gynecology, Vanderbilt School of Medicine/Meharry Medical College, Nashville, TN; Partner, Women's Health Specialists, PLLC, Germantown, TN.

Andrew I. Brill, MD, Director of Minimally Invasive Gynecology, California Pacific Medical Center, San Francisco, CA.

Scott G. Chudnoff, MD, MS, Director of Obstetrics & Gynecology and Women's Health, Associate Fellowship Director, Moses Division, Montefiore Medical Center, Minimally Invasive Gynecologic Surgery, Associate Professor, Albert Einstein College of Medicine of Yeshiva University, Bronx, NY.

Beth Rackow, MD, Assistant Professor of Obstetrics and Gynecology, Columbia University Medical Center, New York, NY.

Lisa Mattson, MD, FACOG, Director, Women's Clinical Boynton Health Service, University of Minnesota, Minneapolis, MN.

Deborah Bartz, MD, MPH, Ryan Program Director, Brigham and Women's Hospital, Instructor, Department of Obstetrics, Gynecology, and Reproductive Biology, Harvard Medical School, Boston, MA.

Dr. Levie reports that he is a medical advisory board member and consultant for Conceptus, Inc. Dr. Ling reports that he is a consultant for Conceptus, Inc and Ethicon, Inc. Dr. Chudnoff reports that she has no financial relationships to disclose. Dr. Rackow reports that she has no financial relationships to disclose. Dr. Bartz reports that she has no financial relationships to disclose.

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Mark D. Levie, MD, Associate Chairman, Fellowship Director in Advanced Endoscopic Surgery, Montefiore Medical Center; Associate Professor, Albert Einstein College of Medicine of Yeshiva University, Bronx, NY.

Frank W. Ling, MD, Clinical Professor, Department of Obstetrics and Gynecology, Vanderbilt School of Medicine/Meharry Medical College, Nashville, TN; Partner, Women's Health Specialists, PLLC, Germantown, TN.

Andrew I. Brill, MD, Director of Minimally Invasive Gynecology, California Pacific Medical Center, San Francisco, CA.

Scott G. Chudnoff, MD, MS, Director of Obstetrics & Gynecology and Women's Health, Associate Fellowship Director, Moses Division, Montefiore Medical Center, Minimally Invasive Gynecologic Surgery, Associate Professor, Albert Einstein College of Medicine of Yeshiva University, Bronx, NY.

Beth Rackow, MD, Assistant Professor of Obstetrics and Gynecology, Columbia University Medical Center, New York, NY.

Lisa Mattson, MD, FACOG, Director, Women's Clinical Boynton Health Service, University of Minnesota, Minneapolis, MN.

Deborah Bartz, MD, MPH, Ryan Program Director, Brigham and Women's Hospital, Instructor, Department of Obstetrics, Gynecology, and Reproductive Biology, Harvard Medical School, Boston, MA.

Dr. Levie reports that he is a medical advisory board member and consultant for Conceptus, Inc. Dr. Ling reports that he is a consultant for Conceptus, Inc and Ethicon, Inc. Dr. Chudnoff reports that she has no financial relationships to disclose. Dr. Rackow reports that she has no financial relationships to disclose. Dr. Bartz reports that she has no financial relationships to disclose.

Author and Disclosure Information

Mark D. Levie, MD, Associate Chairman, Fellowship Director in Advanced Endoscopic Surgery, Montefiore Medical Center; Associate Professor, Albert Einstein College of Medicine of Yeshiva University, Bronx, NY.

Frank W. Ling, MD, Clinical Professor, Department of Obstetrics and Gynecology, Vanderbilt School of Medicine/Meharry Medical College, Nashville, TN; Partner, Women's Health Specialists, PLLC, Germantown, TN.

Andrew I. Brill, MD, Director of Minimally Invasive Gynecology, California Pacific Medical Center, San Francisco, CA.

Scott G. Chudnoff, MD, MS, Director of Obstetrics & Gynecology and Women's Health, Associate Fellowship Director, Moses Division, Montefiore Medical Center, Minimally Invasive Gynecologic Surgery, Associate Professor, Albert Einstein College of Medicine of Yeshiva University, Bronx, NY.

Beth Rackow, MD, Assistant Professor of Obstetrics and Gynecology, Columbia University Medical Center, New York, NY.

Lisa Mattson, MD, FACOG, Director, Women's Clinical Boynton Health Service, University of Minnesota, Minneapolis, MN.

Deborah Bartz, MD, MPH, Ryan Program Director, Brigham and Women's Hospital, Instructor, Department of Obstetrics, Gynecology, and Reproductive Biology, Harvard Medical School, Boston, MA.

Dr. Levie reports that he is a medical advisory board member and consultant for Conceptus, Inc. Dr. Ling reports that he is a consultant for Conceptus, Inc and Ethicon, Inc. Dr. Chudnoff reports that she has no financial relationships to disclose. Dr. Rackow reports that she has no financial relationships to disclose. Dr. Bartz reports that she has no financial relationships to disclose.

Article PDF

OBG1012_Connect.pdf

Article PDF

OBG1012_Connect.pdf

Female sterilization remains the leading contraceptive choice for women in the United States who do not plan future childbearing, with over 40% choosing this option.¹ While different techniques for obtaining tubal occlusion have been developed over the years, including using monopolar or bipolar electrosurgery, rings, or clips, these procedures all require entry into the peritoneal cavity using a transabdominal approach. Data from the US Collaborative Review of Sterilization, also known as the CREST study have examined both the failure and complication rates related to various sterilization techniques.

Female sterilization remains the leading contraceptive choice for women in the United States who do not plan future childbearing, with over 40% choosing this option.¹ While different techniques for obtaining tubal occlusion have been developed over the years, including using monopolar or bipolar electrosurgery, rings, or clips, these procedures all require entry into the peritoneal cavity using a transabdominal approach. Data from the US Collaborative Review of Sterilization, also known as the CREST study have examined both the failure and complication rates related to various sterilization techniques.

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Best Practices for Female Sterilization in 2012 and Beyond

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Best Practices for Female Sterilization in 2012 and Beyond

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