Female sterilisations with Filshie clips: What is the risk failure? A retrospective survey of 30 000 applications

  title={Female sterilisations with Filshie clips: What is the risk failure? A retrospective survey of 30 000 applications},
  author={Gabor Thomas Kovacs and A J Krins},
  journal={Journal of Family Planning and Reproductive Health Care},
  pages={34 - 35}
  • G. Kovacs, A. Krins
  • Published 1 January 2002
  • Medicine, Political Science
  • Journal of Family Planning and Reproductive Health Care
Objective To assess the failure rate of Filshie clip sterilisations in Victoria, Australia. Design Retrospective study between 1994 and 1998. Setting All specialist gynaecologists practising in the state of Victoria, Australia. Interventions Questionnaires (up to three) followed by telephone calls if necessary. Main outcome measures A response rate of 276/277 (99.6%) was obtained. All pregnancies were recorded. Results Seventy-three failures were notified from an estimated 30 000 Filshie clip… 
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The preferred and most widely established technique is laparoscopic tubal occlusion, which has replaced the earlier technique of performing female sterilization via minilaparotomy and is recommended to be performed using either Filshie clip or ring.
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Of significance, sterilisation decreases therisk of ovarian cancer but increases the risk of subsequent hysterectomy and ectopic pregnancy, and has been estimated to vary from 1 to 2 per 100,000 for procedures performed in the United States, to 4 per 100-000 in developing countries, and is consequent to operative and anaesthetic related complications.
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Failure after tubal sterilization using Filshie clips is less than 1:500 operations; patient selection and surgeons’ experience may have influenced these results.
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