Re: PP Tubals--method

From: 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

Practice Medical Director BaylorMedCare 1601 Main St., STE 505 Richmond, TX 77469 tel 281-344-0277 fax 281-344-0288

Advisory Board-OBGYN.net http://www.obgyn.net/board/chudacoff.htm





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