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Re: PP Tubals--methodFrom: Richard Chudacoff, MD (richardc@bcm.tmc.edu)Wed Jun 25 15:54:14 1997
>Since we're talking about where, let's talk about how, also. A >colleague tonight was reviewing a case at the department meeting in >which he did an open laparoscopy 3 days post C section for a fallopian >tube that had herniated through a Jackson-Pratt drain site place at the >C section. > >He contemplated that the open scope was easy, and wondered about doing >PP tubals that way, using cautery. > >I mentioned that I didn't think that he would want to be a pioneer >without some literature to support him, especially if he had failures. >He commented (as did others) that a PP tubal through a keyhole incision >does involve rooting around with instruments and/or fingers, knowing not >where adhesions are, etc. > >Anyway, does anyone have any experience, etc, with doing a PP tubal >(after a vaginal delivery) with a scope, and how do you obstruct the >tube. > >Garry > I don't have any experience with this, but it sounds like a workable idea. What about using endo-loops for a Pomeroy type TL. Would probably need three holes like a interval laparoscopic Pomeroy, though, and that defeats the purpose of doing a PPBTL. Rick
-- Richard Chudacoff, MD Assistant Professor, OB/GYN Baylor College of Medicine
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