Quantcast Salpingostomy (Tubal Plasty) - Special Surgical Procedures

Share on Google+Share on FacebookShare on LinkedInShare on TwitterShare on DiggShare on Stumble Upon
Custom Search
 
  
 
(3)  The mesosalpinx is grasped with Kelly hemostats and divided with the
suspensory ligament of the ovary.
(4)  The cornual attachment of the tube is excised with a knife or curved
scissors. Bleeding vessels are controlled with suture ligatures.
(5)  The edges of the broad ligament are peritonealized from the uterine horn
to the infundibulopelvic ligament, as for hysterectomy.
(6)  The wound is closed as for laparotomy; dressings are applied and held
in place with adhesive or plastic tape.
2-42. SALPINGOSTOMY (TUBAL PLASTY)
a. General. This operation involves the removal of the obstructed portion of the
tube and suspension of the remaining portion to the side of the pelvic wall or placement
of it into the uterine cavity. These procedures are for the purpose of restoring fertility.
b. Operative Procedure. One of several techniques is carried out after
salpingectomy has been performed. The Estes technique or some modification of it is
usually followed. In the Estes technique, the convex surface of the ovary is excised and
implantation of the remainder is made in the myometrium, communicating with the
cavity.
2-43. TUBAL LIGATION
a. General.
(1)  This operation is the interruption of fallopian tube continuity, resulting in
sterilization of the patient. In general, the indications for sterilization can be divided into
three groups: psychiatric, medical, and obstetrical and gynecological. Evaluation and
recommendation of sterilization is made by the attending physician. A sterilization
permit and a procedure consent form must be signed by both the husband and wife.
(2)  The optimum time for sterilization is approximately 24 hours after vaginal
delivery, but an objection to this is that the danger of hemorrhage still exists soon after
delivery. If a cesarean section is done, the tubes are ligated at this time; with a normal
delivery, tubal ligation is done on the first to third postpartum day.
b. Patient Preparation. The patient is placed in a supine position and a
catheter placed in the bladder. Skin prep and draping is as for laparotomy.
c. Operative Procedure.
(1)  The location of the fundus is determined, and a midline incision is made
approximately 2 inches below it. The abdomen is opened in the usual manner.
MD0928
2-37



Medical News
Make the Diagnosis: Lump on Neck
(MedPage Today) -- This healthy 5 year-old boy presents with...
medpagetoday.com
How drinking behavior changes through the years
In the UK, frequent drinking becomes more common in middle...
medicalxpress.com
Tips for women-entrepreneurs entering the medical technology field
In an article recently published in MedCity News, Kathryn Stecco, MD,...
scopeblog.stanford.edu
Research highlights differences in how young men and women learn about sex and relationships
More young people than ever are getting most of their...
medicalxpress.com
States on edge about the future of health insurance markets
Mixed signals from the Supreme Court have states on edge...
medicalxpress.com
Suicides by US girls and young women continue to climb
The suicide rate for girls and young women in the...
medicalxpress.com
Serious strain of bird flu found in Minnesota turkey flock
Federal officials say a serious strain of bird flu has...
medicalxpress.com
Exercise may boost size of some brain regions
(HealthDay)—Exercise may increase the size of brain regions that contribute...
medicalxpress.com
Gut germs may influence success of weight loss surgery
(HealthDay)—How many pounds someone loses after weight-loss surgery is linked...
medicalxpress.com
Improving your fitness could improve your spouse's fitness
Your exercise regimen isn't just good for you; it may...
medicalxpress.com
Study bolsters link between heart disease, excessive sitting
Sitting for many hours per day is associated with increased...
medicalxpress.com
Hot flashes at younger age may signal greater cardiovascular risk
Women who experience hot flashes earlier in life appear to...
medicalxpress.com
Women don't get to hospital fast enough during heart attack
Women suffering a heart attack wait much longer than men...
medicalxpress.com
Study reveals how dietary phosphate can increase heart disease risk
A new study has found that high phosphate levels can...
medicalxpress.com
New study links antidepressants with improved cardiovascular outcomes
A new study by researchers at the Intermountain Medical Center...
medicalxpress.com
Dialysis patients may have faulty 'good' cholesterol
Kidney disease patients on dialysis often have impaired high-density lipoprotein...
medicalxpress.com
Minorities more likely to gain weight in childhood, report shows
(HealthDay)—Minorities may be more prone than whites to gaining weight...
medicalxpress.com
Just a half hour of lost sleep linked weight gain
(HealthDay)—Think twice the next time you don't get as much...
medicalxpress.com
Good medical technology starts with patients’ needs
This post is part of an ongoing series following a...
scopeblog.stanford.edu
Fatigue Remains Exhausting Problem for RA Patients (CME/CE)
(MedPage Today) -- Treatment reduces inflammation, but fatigue persists....
medpagetoday.com
 


Privacy Statement - Copyright Information. - Contact Us

comments powered by Disqus

Integrated Publishing, Inc.
9438 US Hwy 19N #311 Port Richey, FL 34668

Phone For Parts Inquiries: (727) 755-3260
Google +