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=== Less commonly used or no longer used procedures === ==== Irving's procedure ==== This method places two ligatures (sutures) around the fallopian tube and removing the segment of tube between the ligatures. The medial ends of the fallopian tubes on the side closer to the uterus are then connected to the back of the uterus itself.<ref>{{cite web|url=http://www.atlasofpelvicsurgery.com/6FallopianTubesandOvaries/13SterilizationbytheModifiedIrvingTechnique/chap6sec13.html|title=Sterilization by the Modified Irving Technique|publisher=Atlasofpelvicsurgery.com|access-date=2013-06-25}}</ref> ==== Uchida tubal ligation ==== This method involves dissecting the fallopian tube from the overlying connective tissue (serosa), placing two ligatures and excising a segment of the tube, then buries the end of the fallopian tube closest to the uterus underneath the serosa.<ref>{{Cite web|last=Sciarra|first=John J.|title=Volume 6, Chapter 39. Surgical Procedures for Tubal Sterilization|url=https://www.glowm.com/resources/glowm/cd/pages/v6/v6c039.html#theu|access-date=31 August 2020|website=www.glowm.com}}</ref> Dr. Uchida reported no failures among 20,000 procedures.<ref>{{Cite journal|last1=Green|first1=L. R.|last2=Laros|first2=R. K.|date=June 1980|title=Postpartum sterilization|url=https://www.ncbi.nlm.nih.gov/pubmed/6447003|journal=Clinical Obstetrics and Gynecology|volume=23|issue=2|pages=647β659|doi=10.1097/00003081-198006000-00030|issn=0009-9201|pmid=6447003}}</ref><ref>{{Cite journal|last=Uchida|first=H.|date=1975-01-15|title=Uchida tubal sterilization|url=https://www.ncbi.nlm.nih.gov/pubmed/123119|journal=American Journal of Obstetrics and Gynecology|volume=121|issue=2|pages=153β158|doi=10.1016/0002-9378(75)90630-4|issn=0002-9378|pmid=123119}}</ref> ==== Essure tubal ligation==== This method closed the fallopian tubes through a [[Hysteroscopy|hysteroscopic]] approach by placing two small metal and fiber coils in the fallopian tubes through the fallopian ostia. After insertion, scar tissue forms around the coils, blocking off the fallopian tubes and preventing sperm from reaching the egg.<ref>{{cite web|url=https://www.fda.gov/medicaldevices/productsandmedicalprocedures/deviceapprovalsandclearances/recently-approveddevices/ucm083087.htm|title=Essureβ’ System - P020014|publisher=Fda.gov|access-date=2013-06-25}}</ref> It was removed from the US market in 2019.<ref name=":0" /> ==== Adiana tubal ligation ==== This method closed the fallopian tubes through a [[Hysteroscopy|hysteroscopic]] approach by placing two small silicone pieces in the fallopian tubes. During the procedure, the health care provider heated a small portion of each fallopian tube and then inserts a tiny piece of silicone into each tube. After the procedure, scar tissue formed around the silicone inserts, blocking off the fallopian tubes and preventing sperm from reaching the egg.<ref>{{cite press release|url=http://globenewswire.com/news-release/2012/04/30/474765/253823/en/Conceptus-R-Announces-Settlement-of-Patent-Infringement-Lawsuit-With-Hologic.html|title=Conceptus(R) Announces Settlement of Patent Infringement Lawsuit With Hologic Nasdaq:CPTS|date=30 April 2012|publisher=Globenewswire.com|access-date=25 June 2013}}</ref> It was removed from the US market in 2012.
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