TUBOPLASTY fallopian

Tuboplasty of the Fallopian Tubes

Objective

In case of :

•       Tubal obstruction

•       The reopening of the Fallopian tubes.

Position

Supine.

Anesthesia

General.

Procedure

         1.      Pfannenstiel incision.

         2.      Peritoneal cavity is entered.

         3.      Self-retaining retractor is placed.

         4.      Inject methylene blue through a cervical cannula.

         5.      Tuboplasty is performed according to the site obstruction.

         6.      Cornual resection with reimplantation.

         7.      Tubal resection with anastomosis.

         8.      Or fimbrioplasty.

         9.      Operating microscope is often used.

         10.    The abdomen is closed in layers.

Instruments

•       Dilatation and curettage set.

•       General set.

•       Microinstruments (e.g., smooth and toothed forceps, tying forceps, castroviejo needle holder, scissors) (Figs 8.40 and 78).

•       Beaver knife handle (Fig. 10.35).

•       Mosquito hemostats (6 curved, 2 straight).

•       Frazier suction tips (assorted) (Fig. 12.9).

•       Dye (e.g., methylene blue).

•       Perineal pad.

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