Tubal ligation via laparoscope: report of 84 cases
Fan, G.Y.
Zhonghua Fu Chan Ke Za Zhi 15(2): 110-111
1980
ISSN/ISBN: 0529-567X PMID: 6451368 Document Number: 157085
84 cases of tubal ligation with satisfactory results were performed using the instruments and procedures recently developed. The instrument was patterned after a rectal speculum and consisted of a laparoscope and a tube-holding forceps. The procedure began by lowering the laparoscope into the peritoneal cavity through a 2 cm vertical incision and moving the laparoscope gently to locate the oviduct along the anterior wall of the uterus. The fimbriae of the oviduct were brought into view, and the laparoscope was accurately focused on the juction of the isthmus of the oviduct and the uterine fundus. The tube-holding forceps were then inserted to pick up and ligate the oviduct at the junction. If the uterus was small or occupied a posterior position, the oviduct was located by the laparoscope via the broad ligament rather than the anterior wall of the uterus because the laparoscope could be easily blocked by intestines and the greater omentum. This method was found to be accurate, reliable, and to greatly reduce any complications. It was applicable regardless of the size or position of the uterus. The operation was easily and rapidly performed, required simple instruments, and could be widely used in rural areas.