CHAPTER 30

Microtuboplasty

Microtuboplasty is the surgical repair of an occluded fallopian tube with the assistance of the operating microscope.

Equipment needed for the procedure includes a basic laparotomy set and self-retaining retractor.

For the procedure, very fine atraumatic instruments are used. A brief description of the procedure after the abdomen is opened and a self-retaining retractor placed is as follows:

1. A Frazier suction tip is used with a stylet.

2. A Gomel irrigator is used to lubricate delicate tissue.

3. Halstead mosquito forceps are used for stabilizing the tube.

4. Cottle hooks are used to hold the tube.

5. A Swolin Teflon angled rod, 1 mm, is used for probing the tube.

6. A Swolin Teflon angled rod, 3.5 mm, is used for dilating the tube.

7. Westcott scissors are used for dissection.

8. Storz microforceps are used for handling the tube during suturing.

9. A Barraquer needle holder is used for suturing.

10. Kelman-McPherson suture-tying forceps are used for atraumatic knot tying of the suture.

30-1 Top, left to right: 1 Castroviejo needle holder, curved, without lock; 2 Crile-Wood needle holders, 6 inch; 2 Swolin Teflon angled rods on handles, 1 mm and 3.5 mm. Bottom, left to right: 2 Brown-Adson tissue forceps (9 × 9), front view and side view; 2 titanium tying forceps, front view and side view; 3 jeweler’s forceps #3, straight, front view, side view, and front view; 2 Castroviejo suturing forceps, 0.12 mm, with tying platforms, side view and front view; 1 Castroviejo suturing forceps, 0.5 mm, with tying platforms, side view; 1 jeweler’s forceps, curved, side view; 2 Harms tying forceps without teeth, front view and side view; 1 McPherson tying forceps, straight, front view; 1 Kelman-McPherson tying forceps, curved, side view; 2 Cushing thumb forceps, front view and side view.

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