title: Twice-failed tubal ligation: a case report.
abstract: The case is presented of a twice-failed tubal ligation in a woman with six previous children. The first failure followed laparoscopic tubal occlusion by silastic falope rings, while the second failure was subsequent to tubal ligation and division via minilaparotomy. No similar reports have been reported in the East African Literature. Possible reasons for failure are discussed.
authors.affiliation: Department of Obstetrics and Gynaecology, College of Health Sciences, University of Nairobi, Kenya.
authors.forename: J K
authors.initials: JK
authors.lastname: Ruminjo
authors.forename: C
authors.initials: C
authors.lastname: Chabari
mesh_terms: D000328:Adult; D005184:Fallopian Tube Diseases / Q000000981:diagnostic imaging; D005260:Female; D005402:Fistula / Q000000981:diagnostic imaging; D006801:Humans; D007047:Hysterosalpingography; D010535:Laparoscopy; D007813:Laparotomy; D010532:Peritoneal Diseases / Q000000981:diagnostic imaging; D011247:Pregnancy; D012086:Reoperation; D013246:Sterilization, Tubal / Q000009:adverse effects / Q000379:methods; D017211:Treatment Failure