Laparoscopic Tubal Reanastomosis Using Barbed Sutures

被引：3

作者：

Paul, P. G. ^{[1
]}

Khurd, Aditya S. ^{[1
]}

Garg, Reena ^{[1
]}

Radhika, K. T. ^{[1
]}

机构：

[1] Pauls Hosp, Ctr Adv Endoscopy & Infertil, Kochi, Kerala, India

来源：

JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY | 2017年 / 24卷 / 01期

关键词：

Barbed suture; Laparoscopy; Tubal reanastomosis;

D O I：

10.1016/j.jmig.2016.06.016

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Study Objective: To show a new technique of laparoscopic tubal reanastomosis using barbed sutures. Design: Step-by-step explanation of the technique using videos. Setting: Laparoscopic tubal reanastomosis is an effective procedure with a high success rate for reversal of tubal sterilization. Conventionally, 4 equidistant interrupted sutures are placed under a magnified view for laparoscopic tubal reanastomosis. This step demands high precision and requires a lot of skill and experience. We have tried to simplify this suturing technique by using barbed sutures because they do not require knotting. Two separate 5-0 Quill barbed sutures (Angiotech Puerto Rico Inc, Aguadilla, Puerto Rico) are used in this technique. The first suture is used for taking 6 and 3 o' clock stitches. The second suture is used for taking 9 and 12 o' clock stitches. With this technique, the purse-string effect on the tubal lumen is reduced. Interventions: Laparoscopic tubal reanastomosis using 5-0 Quill barbed sutures (equivalent to United States Pharmacopeia suture size 6-0). Conclusion: This technique of laparoscopic tubal reanastomosis using barbed sutures is a feasible and simpler alternative to conventional suturing. (C) 2016 AAGL. All rights reserved.

引用

页码：11 / 11

页数：1