What is the effectiveness of titanium clips compared with partial salpingectomy for postpartum tubal sterilization?

Updated: Jun 18, 2018
  • Author: Nan G O'Connell, MD; Chief Editor: Christine Isaacs, MD  more...
  • Print


The Filshie clip system is an alternative to partial salpingectomy in the postpartum setting, particularly useful in difficult surgical cases (eg, obesity, intra-abdominal adhesions). [6, 7] A randomized controlled trial published in 2012 showed, however, that the titanium clip was not as effective as partial salpingectomy in the postpartum setting. [8] Through 2 years of observation, the pregnancy probability for the clip group was 0.017 compared with 0.004 for the partial salpingectomy group (= 0.04). However, this study was limited by a high loss–to–follow-up rate (just over 50% for both groups) and a limited follow-up period (24 mo). [8] Increased edema and hypertrophy of the fallopian tubes in pregnancy are thought to be responsible for this difference in effectiveness.

Did this answer your question?
Additional feedback? (Optional)
Thank you for your feedback!