Comparison of tubal ligation by bipolar electrocoagulation and Filshie-Clips

Abstract

Background: Finding simple, lowcost and safe way for tubal ligation is of great importance. Objective: To compare the duration of operation, recovery and complications (Up to one week) in these methods. Methods: 281 volunteered women for laparascopic sterilization were enrolled into a randomized clinical trial and were sterilized by filshie-clips or bipolar electrocoagulation. Duration of operation, recovery time and complication of both methods were compared. Findings: No major complications were reported in this study. However, surgery complications were observed in 4.1% of the cases. The duration of operation was 15.1±10.7 and 10±4.4 minutes to carry out filshie-clip and bipolar electrocoagulation sterilization method, respectively. Duration of return to normal activities were 2.6±1.74 and 1.3±1.1 days, respectively. The rate of complication of these two approaches did not have a significant difference. Conclusion: Duration of surgery and also recovery time were significantly shorter for users of bipolar electrocoagulation method, rather than filshie clip one.