Laparoscopic Tubal Reanastomosis Using Barbed Sutures

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• 作者：P.G. Paul ; MBBS ; DGO ; ^{drpaulpg@gmail.com} ; Aditya S. Khurd ; MBBS ; DNB ; FRM ; Reena Garg ; MBBS ; DGO ; K.T. Radhika ; MBBS ; DGO
• 关键词：Barbed suture ; Laparoscopy ; Tubal reanastomosis
• 刊名：Journal of Minimally Invasive Gynecology
• 出版年：2017
• 出版时间：1 January 2017
• 年：2017
• 卷：24
• 期：1
• 页码：11
• 全文大小：597 K
• 卷排序：24

文摘

To show a new technique of laparoscopic tubal reanastomosis using barbed sutures.DesignStep-by-step explanation of the technique using videos.SettingLaparoscopic 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.InterventionsLaparoscopic tubal reanastomosis using 5-0 Quill barbed sutures (equivalent to United States Pharmacopeia suture size 6-0).ConclusionThis technique of laparoscopic tubal reanastomosis using barbed sutures is a feasible and simpler alternative to conventional suturing.