Re: Timing of TL

From: ainsron (ainsron@sbcglobal.net)
Fri May 19 10:53:58 2006


Kroener fimbriectomy has a much higher rate of failure due to recanalization of the proximal portion of the tube, according to Williams, and should "rarely be done."

Ronald E. Ainsworth, MD, FACOG

-----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Gordon Goldman Sent: Thursday, May 18, 2006 7:39 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Timing of TL

Gordon

-----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Garry E. Siegel, M.D. Sent: Thursday, May 18, 2006 8:09 PM Garry,

Same here, but curious as to why the Pomeroy vs. fimbriectomy. Is there any significant differences in outcomes of any methods?

Gordon

To: Multiple recipients of list OB-GYN-L Subject: Re: Timing of TL

No science here, but here's how I was trained.

PPTL in house via small subumbilical incision, modified Pomeroy technique. This could be done immediately if an epidural was in place, or hours later, depending on logistics, NPO-status, etc.

If not, no sooner than 6 weeks for a laparoscopic TL.

Garry





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