A new concept for anastomosis of the fallopian tube: tissue reconstruction with nonpenetrating, arcuate, legged clips in the rat model.
OBJECTIVE
To evaluate the titanium Kirsch-Zhu microclip microsurgical reanastomoses of the fallopian tubes.


METHODS
Compare the reanastomoses of the rat uterine horn between Kirsch-Zhu clips (Cushman Engineering, Albuquerque, NM) (group A) and conventional suture microsurgical techniques (group B).


METHODS
Microsurgery Research Laboratory, Loma Linda University Medical Center, Loma Linda, California.


METHODS
Fifteen SD rats Harlan (Harlan Sprague-Dawley Corp., Indianapolis, IN) were done in groups A and B and six in control group (C).


METHODS
Pregnancy rate, litter size, tissue of procedure, and histologic results.


RESULTS
The clip technique was shorter in procedure time and resulted in equal fertility rate and litter size. Histologically, there were less granulomatous formation and histiocytic inflammation, but muscularis thinning and fibrosis were noted with the clip.


CONCLUSIONS
The Kirsch-Zhu clip has potential for application to human fallopian tube reanastomoses.
Tredway
D R
DR
Department of Gynecology and Obstetrics, Loma Linda University Medical Center, California 92354.
Kirsch
W M
WM
Zhu
Y H
YH
Weber
K
K
Norburg
M
M
Saukel
G W
GW
Seraj
I
I
D000714:Anastomosis, Surgical / Q000295:instrumentation*; D000818:Animals; D004867:Equipment Design; D005187:Fallopian Tubes / Q000473:pathology / Q000601:surgery*; D005260:Female; D007432:Intraoperative Period; D008866:Microsurgery; D011184:Postoperative Period; D011247:Pregnancy; D051381:Rats; D017207:Rats, Sprague-Dawley; D013537:Sutures; D013997:Time Factors