The Endosquid, a new device for laparoscopic Pomeroy tubal ligation.
The Pomeroy method is a most widely practiced and most familiar form of tubal ligation. It traditionally requires laparotomy or multiple-puncture laparoscopic suturing, which is not a realistic option for the average endoscopist. We designed a 5-mm device, the Endosquid, to reproduce Pomeroy tubal ligation laparoscopically using a single 5-mm accessory puncture site. It is able to ligate, transect, and remove a loop of isthmic tube. We tested the Endosquid in a porcine model by ligating 25 bicornuate uterine horns and aortas. Ligation times averaged less than 5 minutes for each application. Gross and histologic evaluation of ligation specimens performed at necropsy confirmed correct placement. Blood loss was negligible and there were no operative complications.
Palter
S F
SF
Department of Obstetrics and Gynecology, Yale University School of Medicine, 333 Cedar Street, Room LSOG 320, New Haven, CT 06510, USA.
Al-Rejjal
R
R
Berky
C
C
D000818:Animals; D005260:Female; D010535:Laparoscopy; D008026:Ligation / Q000295:instrumentation; D013246:Sterilization, Tubal / Q000295:instrumentation* / Q000379:methods; D013552:Swine