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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 Modified
Irving Technique

The modified Irving operation was proposed to prevent the small but persistent incidence of failures associated with the Pomeroy procedure. Although prospective randomized studies are unavailable at this writing, this operation is regarded as one of the most effective for prevention of pregnancy.

The purpose of the procedure is to prevent pregnancy by obstructing the Fallopian tubes by burying their proximal portions back into the myometrium.

Physiologic Changes.  The physiologic changes with the modified Irving technique are similar to those associated with the other methods of tubal obstruction and ligation. In addition, the proximal portion of the Fallopian tube is buried within the myometrium. This makes recanalization or the development of a tuboperitoneal fistula extremely unlikely.

Points of Caution. An adequate opening in the myometrium must be made with the straight mosquito clamp if the Fallopian tube is to be pulled within the myometrium.

Technique