Prospective randomized, controlled study of postoperative pain after titanium silicone rubber clip or Silastic ring tubal occlusion

Helen C. Pymar, Mitchell D Creinin, Manuel C. Vallejo

Research output: Contribution to journalArticle

5 Scopus citations


Objective: To determine if laparoscopic sterilization using the Filshie clip causes less postoperative pain as compared to the Falope ring during the first 24 h after surgery. Study design: Forty subjects were enrolled. Five milliliters of 0.5% bupivicaine was injected at each of the two incision sites and 5 mL was dripped onto each fallopian tube. Subjects then received one Filshie clip and Falope ring on opposite fallopian tubes; the side of occlusion was randomized. Subjects were questioned about pain prior to the first administration of analgesics postoperatively, 1 and 2 h after surgery, at discharge, and 24 h after surgery. Results: Forty subjects completed the study; 32 without major deviations from protocol. There was no significant difference in pain between sides with the Filshie clip or Falope ring at any times evaluated. Conclusion: There was no significant reduction in the postoperative pain associated with the Filshie clip as compared to the Falope ring within 24 h after surgery.

Original languageEnglish (US)
Pages (from-to)145-150
Number of pages6
Issue number2
StatePublished - Feb 2004
Externally publishedYes



  • Filshie clip
  • Postoperative pain
  • Tubal occlusion

ASJC Scopus subject areas

  • Medicine(all)
  • Obstetrics and Gynecology

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