THE POTENTIAL FOR IMPROVED ABDOMINAL PROCEDURES AND APPROACHES FOR TUBAL OCCLUSION

Methods of sterilization by the abdominal route are reviewed. There ar e wide variations in practice which reflect experience, training and r esources in different countries. Clip sterilization comes nearest to f ulfilling the criteria of a satisfactory method, whether performed by laparoscopy or minilaparotomy. The development of the Cambridge clip s eems to offer the prospect of a significant improvement in reliability and safe application while microlaparoscopy and a smaller clip would facilitate the use of local anesthesia and decrease morbidity.