Dubois J G, Antoine J M, Salat-Baroux J
Maternité de l'Hôpital Tenon, Paris.
Presse Med. 1987 Oct 3;16(32):1591-3.
A modification of the conventional tubal anastomosis technique bearing on the suture of the musculo-muscular layer is described. The extra-mucosal suture suggested is the most important point of the operation. The new technique applies to isthmo-isthmic, isthmo-interstitial and isthmo-uterine anastomoses but also to ampullo-isthmic, interstitial or uterine anastomoses. Two separate continuous sutures with a non-absorbent 8/0 or 9/0 thread are performed, one at 4, 6 and 8 hours, the other at 10, 12 and 2 hours, then ligated together. The advantages of this technique is that it is more rapid and less traumatic than others and gives very good anatomical and functional results.
本文描述了一种对传统输卵管吻合技术的改良方法,该方法涉及肌肉层的缝合。所建议的粘膜外缝合是手术的最重要环节。新技术适用于峡部-峡部、峡部-间质部和峡部-子宫吻合术,也适用于壶腹部-峡部、间质部或子宫吻合术。使用不可吸收的8/0或9/0缝线进行两根单独的连续缝合,一根在4、6和8点位置,另一根在10、12和2点位置,然后将它们结扎在一起。该技术的优点是比其他技术更快速、创伤更小,并且能产生非常好的解剖和功能效果。