title: Falope Rings or Modified Pomeroy's Technique for Concurrent Tubal Sterilization.
abstract: BACKGROUND
  Sterilization at caesarean section is usually performed by the modified Pomeroy's technique. Application of Falope rings and Filshie clips may also be used for tubal sterilization at caesarean section, and these techniques are also used during laparoscopy or minilaparotomy.
  
  
  OBJECTIVE
  The main objective of the study was to evaluate the failure rates, complications, technical difficulties and reversibility of the Falope ring application for tubal sterilization as compared to the traditional modified Pomeroy's technique used during caesarean sections.
  
  
  METHODS
  Five hundred multigravid women who underwent caesarean section for various causes and wanted concurrent tubal sterilization were recruited in the study. Two hundred and fifty women underwent tubal sterilization by Falope ring application and the other 250 by modified Pomeroy's technique. Follow-up period ranged from 3 to 42 months. These patients' names were checked against the antenatal booking register, the operating theatre register in case of ectopic pregnancies and a termination of pregnancy register to recognize failed sterilization.
  
  
  RESULTS
  Among the 250 women who underwent Falope ring application, no major complications were noted. In the other group, women who underwent tubal sterilization by modified Pomeroy's technique, there was one woman with serious complication, ectopic pregnancy. Falope ring application was an easy procedure to perform and also less time-consuming than modified Pomeroy's technique.
  
  
  CONCLUSIONS
  Falope ring sterilization is simple, effective and safe, and the rate of subsequent pregnancy is lower than with conventional modified Pomeroy's technique.
authors.affiliation: Department of OBG Unit - IV, JSS Medical College & Hospital, JSS University, Mysore, India.
authors.forename: Leelavathi
authors.initials: L
authors.lastname: Basava
authors.affiliation: Department of OBG Unit - IV, JSS Medical College & Hospital, JSS University, Mysore, India.
authors.forename: Priyankur
authors.initials: P
authors.lastname: Roy
authors.affiliation: Department of OBG Unit - IV, JSS Medical College & Hospital, JSS University, Mysore, India.
authors.forename: V
authors.initials: V
authors.lastname: Anusha Priya
authors.affiliation: Department of OBG Unit - IV, JSS Medical College & Hospital, JSS University, Mysore, India.
authors.forename: Shubhashri
authors.initials: S
authors.lastname: Srirama
keywords: Ectopic pregnancy; Falope ring; Modified Pomeroy’s technique