title: Laparoscopic Tubal Reanastomosis Using Barbed Sutures.
abstract: To show a new technique of laparoscopic tubal reanastomosis using barbed sutures.
  
  
  
  Step-by-step explanation of the technique using videos.
  
  
  
  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.
  
  
  
  Laparoscopic tubal reanastomosis using 5-0 Quill barbed sutures (equivalent to United States Pharmacopeia suture size 6-0).
  
  
  
  This technique of laparoscopic tubal reanastomosis using barbed sutures is a feasible and simpler alternative to conventional suturing.
authors.affiliation: Paul's Hospital, Centre for Advanced Endoscopy and Infertility, Kochi, Kerala, India. Electronic address: drpaulpg@gmail.com.
authors.forename: P G
authors.initials: PG
authors.lastname: Paul
authors.affiliation: Paul's Hospital, Centre for Advanced Endoscopy and Infertility, Kochi, Kerala, India.
authors.forename: Aditya S
authors.initials: AS
authors.lastname: Khurd
authors.affiliation: Paul's Hospital, Centre for Advanced Endoscopy and Infertility, Kochi, Kerala, India.
authors.forename: Reena
authors.initials: R
authors.lastname: Garg
authors.affiliation: Paul's Hospital, Centre for Advanced Endoscopy and Infertility, Kochi, Kerala, India.
authors.forename: K T
authors.initials: KT
authors.lastname: Radhika
mesh_terms: D005260:Female; D006801:Humans; D010535:Laparoscopy; D013243:Sterilization Reversal / Q000295:instrumentation*; D013536:Suture Techniques; D013537:Sutures
keywords: Barbed suture; Laparoscopy; Tubal reanastomosis