Hulka-Clemens clip

Last reviewed 01/2018

There are more than 200 published methods for female sterilisation.

Laparoscopic tubal occlusion is the method of choice in uncomplicated cases. The operation is minimally invasive and is associated with low morbidity and mortality.

Laparotomy is advised in complicated cases and in post-partum sterilisation. The invasive nature results in a higher morbidity and an increased hospital stay.

Laparotomy using a small incision - "mini - laparotomy" may be performed as a day case but is contraindicated when the uterus is retroverted or is fixed by adhesions.

Other common surgical approaches include a posterior fornix colpotomy and hysteroscopy.