1. David Blair Toub, M.D. Dept. of Obstetrics and Gynecology Pennsylvania Hospital
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9. Ten-Year Cumulative Probability of Pregnancy (per 1000 procedures) method 24.8 7.5 17.7 36.5 20.1 7.5 18.5 probability per 1000 procedures
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Editor's Notes
postpartum TL may have slightly higher failure rate vaginal TL is effective, but limited by inc risk infection hysterectomy is no longer recommended as a primary means of sterilization in the absence of additional indications. Rare pregnancies have resulted post-hysterectomy fimbriectomy-higher failure rate, hydrosalpinx formation hysteroscopic monopolar electrosurgery used to be done and was technically not very difficult, but was abandoned due to cornual perforations and bowel burns. Discuss bipolar vs monopolar, and higher failure rate w bipolar
cutting waveform better than coag ammeter not always reliable failures require reoperation, with attention directed towards proximal stump avoid surgery close to cornua-higher fistula rate
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