An experimental model for pelviscopic tubal anastomoses.
An endoscopic technique for tubal anastomosis has been developed in a rat uterine horn model. Uterine segments were anastomosed endoscopically in a training device for surgical pelviscopy ('Pelvitrainer') by fibrin glue, using an inlaying splint as a guide. The anastomoses were accomplished by a seromuscular 6-0 suture at the anti-mesenteric border. Morphological studies revealed good patency of the anastomosed segments without stenoses or occlusions. The tissue continuity was good. In only two cases out of the 20 studied was a tapering of the uterine wall found adjacent to the anastomosis. It is concluded that this endoscopic technique for tubal anastomosis presents a useful alternative to classical microsurgical reversal of sterilization by laparotomy.
Gauwerky
J F
JF
Department of Obstetrics and Gynaecology, University of Heidelberg, FRG.
Klose
R
R
D000714:Anastomosis, Surgical / Q000379:methods; D000818:Animals; D004724:Endoscopy; D005260:Female; D015718:Fibrin Tissue Adhesive; D051381:Rats; D011919:Rats, Inbred Strains; D013243:Sterilization Reversal / Q000379:methods*; D014599:Uterus / Q000601:surgery* / Q000648:ultrastructure
D015718:Fibrin Tissue Adhesive