Refer initially to Chalmers /Medical Gynaecology for Female sterilisation discussion and assessment.
These patients will be further referred for the procedure which will take place at RIE
- Laparoscopic procedures are undertaken at RIE
- Filshie clips used to occlude the tubes GA/ 1:200 failure rate (risk of ectopic)/ 2-3:1000 risk of visceral damage require possible laparotomy.
- Risks increased & may be contraindicated if BMI high & significant past medical & surgical history
- Essure sterilisation is no longer available in Lothian
C.M & S.C 14-07-20
