Abstract
The original article clearly summarizes the basic work that evaluated the possibilities and risks of failure of tubal sterilization. Their use is far more common in most developed countries, and especially in the cohort of women over the age of 30, it is the most common method of contraception in many countries.
Thanks to our legislation, surgical methods of birth control are pushed into the background both in clinical practice and when looking at the description of these methods in current Czech monographs. Indicative restrictions by a highly conservative law in our country are already a thing of the past.
In our conditions, this procedure is most often used today at the same time as a caesarean section, where the Pomeroy technique with partial salpingectomy, which can still be considered the "gold standard", dominates in various modifications. In cases of "interval sterilization" in our conditions, laparoscopic techniques with titanium clips or coagulation completely dominate, in which it is also appropriate to perform interruptions with resection of a part of the tube.
Hysteroscopic techniques require experience and due to the low frequency of these procedures are not usable in our conditions. So how is this article beneficial for us? It clearly shows that even a well-executed performance is not 100% reliable and irreversible.
There is a risk of recanalization of the fallopian tube, fistula formation in almost all methods with a cumulative risk of pregnancy of up to 1%.