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Fallopian Tubes
and Ovaries

Laparoscopy Technique

Diagnostic Uses
of Laparoscopy

Demonstration
of Tubal Patency
via Laparoscopy

Laparoscopic Resection
of Unruptured
Ectopic Pregnancy

Ovarian Biopsy
via Laparoscopy

Electrocoagulation of
Endometriosis via
Laparoscopy

Lysis or Adhesions
via Laparoscopy

Control of Hemorrhage
During Laparoscopy

Fallopian Tube
Sterilization

Sterilization by
Electrocoagulation and
Division via Laparoscopy

Silastic Band Sterilization
via Laparoscopy

Hulka Clip Sterilization
via Laparoscopy

Sterilization by the
Pomeroy Operation

Sterilization by the
Modified Irving Technique

Sterilization by the
Minilaparotomy Technique

Sterilization - Ucheda Technique

Salpingectomy

Salpingo-oophorectomy

Fimbrioplasy

Tuboplasty -
Microresection
and Anastomosis
of the Fallopian Tube

Wedge Resection
of the Ovary

Torsion of the Ovary

Ovarian Cystectomy

Sterilization by the Pomeroy Operation

The Pomeroy operation is the most popular and widespread operation performed for female sterilization. It can be performed postpartum, at the time of cesarean section, or at interval sterilization through either mini-laparotomy or vaginal colpotomy.

The purpose of the operation is to obstruct the female Fallopian tubes and prevent pregnancy.

Physiologic Changes. All methods of tubal sterilization have a reported incidence of menometrorrhagia. This varies with different series. The exact physiologic changes that produce menometrorrhagia are unknown at this time. The theory that ligation of the Fallopian tube reduces or alters ovarian blood supply remains to be proven.

Points of Caution. A 0 synthetic absorbable suture is preferable to permanent suture for ligating the knuckle of Fallopian tube. If the two ends of the Fallopian tube are permanently held in approximation, there may be a greater chance of recanalization than if they are allowed to separate when the suture is absorbed.

Technique