Kroener tubal ligation in perspective

Abstract

An extensive review of the literature and clinical study of 404 women undergoing surgical sterilization procedures at the David Grant USAF Medical Center, Travis AFB, in 1970 and 1971, were made in order to evaluate the current status of tubal ligations, with their particular advantages and complications. Ninety-five per cent of 256 patients responded to follow-up written questionaire 6 to 22 months after their operation. Tubal ligation failure rate was 0.9 per cent, and 3.2 per cent of patients who underwent tubal ligation required further pelvic operations. It was concluded that tubal ligations in general and colpotomy with Kroener fimbriectomy in particular remain among the most effective, economic, rapid, safe, simple, and best accepted surgical sterilization procedures available. This procedure is attended by fewer complications than any of the other methods evaluated with the possible exception of laparoscopy with tubal fulguration, which requires further evaluation.