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.
Any questions be sent to drmmkapur@gmail.com
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