AN EXPERIMENTAL-MODEL FOR PELVISCOPIC TUBAL ANASTOMOSES

被引：7

作者：

GAUWERKY, JFH

KLOSE, R

机构：

[1] Department of Obstetrics and Gynaecology, University of Heidelberg, 6900 Heidelberg

来源：

HUMAN REPRODUCTION | 1990年 / 5卷 / 04期

关键词：

Operative laparoscopy; Reversal of sterilization; Scanning electron microscopy;

D O I：

10.1093/oxfordjournals.humrep.a137119

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

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. © 1990 Oxford University Press.

引用

页码：439 / 443

页数：5

共 29 条

[1]

Baggish M.S., Chong A.P., Carbon dioxide laser microsurgery of the uterine tube, Obstet. Gynecol, 58, pp. 111-116, (1981)

[2]

Baumann R., Volk M., Taubert H.D., Refertilisierung unter zusätzlicher Anwendung von Fibrinkleber, Geburtshilfe Frauenheilkd, 46, pp. 234-236, (1986)

[3]

Bemardt-Huth D., Frantzen C.H., Schlosser H.W., Morphology of rabbit oviduct after microsurgical techniques for reanastomosis of the isthumus or ampulla, Arch. Gynecol, 230, pp. 251-262, (1981)

[4]

Bruhat M.A., Manhes H., Mage G., Pouly J.L., Treatment of ectopic pregnancy by means of laparoscopy, Fertil. Steril, 33, pp. 411-414, (1980)

[5]

Bruhat M.A., Mage A., Manhes H., Pouly J.L., Laparoscopy procedures to promote fertility, ovariolysis and salpingolysis: Results of 93 selected cases, Acta Eur. Fertil, 14, pp. 113-115, (1983)

[6]

Dechemey A.H., Diamond M.P., Laparoscopic salpingostomy for ectopic pregnancy, Obstet. Gynecol, 70, pp. 948-950, (1987)

[7]

Fayez J.A., Jobson V.W., Lentz S.S., Payne D.G., Westra D.F., Martin D.K., Tubal microsurgery with the carbon dioxide laser, Am. J. Obstet. Gynecol, 146, pp. 371-373, (1983)

[8]

Forssmann W.G., General methods in transmission electron microscopy of the nervous system, Techniques in Neuroanatomical Research, pp. 21-39, (1981)

[9]

Gauwerky J.F.H., Kubli F., Die operative Behandlung der Extrauteringravidität, Fertilität, 3, pp. 125-132, (1987)

[10]

Gauwerky J.F.H., Kubli F., Forssmann W.G., Morphology and fertility after reanastomosis of the rabbit Fallopian tube with fibrin glue, Hum. Reprod, 3, pp. 327-330, (1988)

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