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Ectopic after tubal ligation From: AultK@obgyn-po.obgyn.uiowa.edu Mon Aug 25 11:47:20 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Marco A. Pelosi, III, MD: "Re: Puzzler?? 24 week ob with severe left flank pain" Previous message: art fougner, md: "Re: TOPIC FOR A RESIDENT LECTURE" Next in thread: rbraun@indyunix.iupui.edu: "Re: Ectopic after tubal ligation" Reply: rbraun@indyunix.iupui.edu: "Re: Ectopic after tubal ligation" "One should always excise, cauterize, or ligate or remove the proximal stumps of both tubes in this situation. There has to be a small fistula in the end of one or the other of the proximal stumps for the sperm to get there. A spermatozoa can get through a hole so small that we can not see it. Therefore one must always zap the proximal stumps bilaterally. - R.Daniel Braun, MD" Do you have a literature reference for doing that? I have looked in TeLinde's, Nichols' etc. for sage advice in this situation. There does not seem to be much written despite the popularity of tubal ligation and known high rate of subsequent ectopics. It looks like what you suggest may make things worse - bigger fistula - but I am not sure I have a better alternative. - Kevin Ault, MD University of Iowa Next message: Marco A. Pelosi, III, MD: "Re: Puzzler?? 24 week ob with severe left flank pain" Previous message: art fougner, md: "Re: TOPIC FOR A RESIDENT LECTURE" Next in thread: rbraun@indyunix.iupui.edu: "Re: Ectopic after tubal ligation" Reply: rbraun@indyunix.iupui.edu: "Re: Ectopic after tubal ligation"

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