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
Obama's BRAIN initiative gets more than $300 million
President Barack Obama's initiative to study the brain and improve...
medicalxpress.com
Ebola case stokes concerns for Liberians in Texas
The first case of Ebola diagnosed in the U.S. has...
medicalxpress.com
Estimates show preterm birth complications and pneumonia are leading causes of death in children under five years
Complications from preterm (premature) births and pneumonia are now the...
medicalxpress.com
Genetic study casts further doubt that vitamin D prevents the development of type 2 diabetes
A large genetic study, published today in The Lancet Diabetes...
medicalxpress.com
Immunotherapy could stop resistance to radiotherapy
Treating cancers with immunotherapy and radiotherapy at the same time...
medicalxpress.com
Is Australia prepared for Ebola?
Australia needs to be proactive about potential disease outbreaks like...
medicalxpress.com
Open Office Hours: Stanford neurobiologist taking your questions on brain research
Last year Stanford launched the new Stanford Neurosciences Institute, led...
scopeblog.stanford.edu
Open Office Hours: Stanford neurobiologist taking your questions on brain research
Last year Stanford launched the new Stanford Neurosciences Institute, led...
scopeblog.stanford.edu
Targeted treatment could halt womb cancer growth
A drug which targets a key gene fault could halt...
medicalxpress.com
Damaging legacy: Mothers who smoke affect the fertility of their sons
Mothers who smoke while they are pregnant or breast feeding...
medicalxpress.com
Ebola: CDC Confirms First U.S. Diagnosis
(MedPage Today) -- "We're stopping it in its tracks," CDC...
medpagetoday.com
Boys will be boys? Yes, neuroscience now shows
If you've ever tried to warn teenagers of the consequences...
medicalxpress.com
Anorexia/Cachexia Drug Gets High Marks for NSCLC (CME/CE)
MADRID (MedPage Today) -- Ghrelin agonist associated with weight gain...
medpagetoday.com
Healthy lifestyle could prevent nearly half of all diabetic pregnancies
Nearly half of all cases of diabetes during pregnancy, known...
medicalxpress.com
Minimum alcohol pricing would be up to 50 times more effective than below cost selling ban
Introducing minimum unit pricing in England would be up to...
medicalxpress.com
Dallas hospital confirms first Ebola case in US
A patient at a Dallas hospital has tested positive for...
medicalxpress.com
Developing countries should enroll medical and nursing students from rural areas
Nearly one third of medical and nursing students in developing...
medicalxpress.com
Third of countries struggling to meet the needs of aging population
People around the world are living longer, but social policies...
medicalxpress.com
Spacing between sibling births tied to autism risk in study
(HealthDay)—Children conceived either less than one year or more than...
medicalxpress.com
Study says hepatitis C will be a rare disease by about 2036
Hepatitis C, a major infectious disease in the United States...
medicalxpress.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 +