Experiences with Filshie clip sterilization.

Between June 1980 and April 1986 796 cases of female sterilization were performed in a private clinic in Malaysia using Mark IVa and Mark VI Filshie clips. There was one failure. Technical failure, surgical difficulties and complications were minimal.

Filshie Clip sterilization trial in Malaysia.

PIP: Between June 1980 through September 1982 Filshie Clip trial sterilizations were performed at 4 different centers in Malaysia. The success rate is 99.4%. To date only 3 failures have been reported. No ectopic pregnancy occurred in the 3 failures. Most of the women sterilized (50.1%) were between 30-34 years of age; parity in these women is 4. 85.3% of these women have never used a reliable method of contraception prior to sterilization. Only 12.3% of these women have been on the pills before, while 2.4% used IUDs. 94.9% of the sterilizations were performed by minilaparotomy while 3.0% were caesarean. Normal laparoscopy was employed in 1.6% of the subjects. Laparotomy was performed in 0.4% of the subjects. 89.1% of the sterilizations were performed under general anesthesia, while in 10.9% of the cases intravenous sedation and local anesthesia were used. Only minor complications were encountered in 1.8% of the subjects and these were easily overcome. Most of the subjects required hospitalization for 1 day, while 6.0% required 2 days. The experience and other relevant findings are discussed.^ieng