A technique for laparoscopic pomeroy tubal ligation with endoloop sutures.
A laparoscopic technique of Pomeroy tubal ligation using endoloop sutures was compared with the conventional technique of laparoscopic tubal ligation with Silastic rings. Fifty-three patients selected from a population undergoing tubal ligation were randomized to either the Pomeroy (N = 28) or ring (N = 25) group. Mean (+/- standard deviation) operative time for the Pomeroy group was 27.39 +/- 5.95 minutes, with a range of 18-40; for the ring group, the time was 23.11 +/- 11.53 minutes, with a range of 12-58. These times were not statistically different. Operative complication were encountered only in the ring group and included two lacerations of the mesosalpinx. There were no technical or method failures over a follow-up interval of 12-18 months. Specimens confirmed tubal histology in all cases in the Pomeroy group. Laparoscopic Pomeroy tubal ligation using endoloop sutures was easily performed, comparable to laparoscopic application of Silastic rings, and provided a surgical specimen to confirm tubal histology. This aspect may represent a medicolegal advantage of documentation not available with other laparoscopic techniques of tubal ligation.
Murray
J E
JE
Department of Obstetrics and Gynecology, Tripler Army Medical Center, Honolulu, Hawaii.
Hibbert
M L
ML
Heth
S R
SR
Letterie
G S
GS
D000328:Adult; D005187:Fallopian Tubes / Q000033:anatomy & histology / Q000601:surgery; D005260:Female; D006801:Humans; D010535:Laparoscopy; D013246:Sterilization, Tubal / Q000379:methods*; D013536:Suture Techniques