Gauwerky J F, Klose R
Department of Obstetrics and Gynaecology, University of Heidelberg, FRG.
Hum Reprod. 1990 May;5(4):439-43. doi: 10.1093/oxfordjournals.humrep.a137119.
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.
在大鼠子宫角模型中开发了一种输卵管吻合的内镜技术。使用镶嵌夹板作为引导，通过纤维蛋白胶在用于手术盆腔镜检查的训练装置（“盆腔训练器”）中对子宫段进行内镜吻合。在肠系膜对侧缘通过浆肌层6-0缝线完成吻合。形态学研究显示吻合段通畅良好，无狭窄或闭塞。组织连续性良好。在20例研究病例中，仅2例发现吻合口附近子宫壁有逐渐变细的情况。得出的结论是，这种输卵管吻合的内镜技术是经典的剖腹绝育显微外科逆转术的一种有用替代方法。
