In an attempt to avoid the serious complications of elcctrosurgical sterilization via laparoscopy, specially designed applicators have been used to apply a silastic band to the fallopian tube, thereby occluding it. Two hundred and eighty cases have been performed, 70 of which have been followed for more than I year. There have been no pregnancies. The technic is relatively simple. Complications result when the tube is excessively thickened, when the lube is fixed in position by adhesion, or when the lube is grasped loo close to the cornua or too rapidly. These complications have been relatively few and can be easily avoided.
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