Muzsnai D, Carrillo E, Adamski A, Galland D, Hughes T
Obstet Gynecol. 1981 Oct;58(4):508-12.
The normal mobility and inherent length of the fallopian tube make possible its exteriorization from the abdominal cavity to perform tubal sterilization. The authors offer a new laparoscopic technique using exteriorization of the tube, performance of either tubal ligation (modified Pomeroy technique) or unipolar cauterization, and intra-abdominal in-sleeve cauterization in case of failure to exteriorize the tube. This approach averts laparotomy, preserves the advantages of tubal ligation, and precludes bowel injury that may result from using electric cauterization. To ensure safety an uninsulated trocar sleeve and grasping forceps were designed and used through the second puncture site. With this technique, 364 patients have had voluntary interval sterilization at the UCLA-Olive View Medical Center between 1977 and 1980, including tubal ligation (181 patients), cauterization (161), and intra-abdominal in-sleeve cauterization (22). No bowel burn was occurred and no laparotomies have been necessary. Complications were minor and compared favorably with other laparoscopic sterilization techniques.
输卵管正常的活动度和固有长度使其能够从腹腔引出以进行输卵管绝育术。作者提供了一种新的腹腔镜技术，该技术包括将输卵管引出、进行输卵管结扎（改良波默罗伊技术）或单极电灼，若无法引出输卵管则进行腹腔内套入式电灼。这种方法避免了开腹手术，保留了输卵管结扎的优点，并且避免了使用电灼可能导致的肠损伤。为确保安全，设计并通过第二个穿刺点使用了非绝缘套管针和抓钳。采用这种技术，1977年至1980年间，在加州大学洛杉矶分校-橄榄景医疗中心有364例患者进行了自愿选择性绝育术，包括输卵管结扎（181例患者）、电灼（161例）和腹腔内套入式电灼（22例）。未发生肠烧伤，也无需进行开腹手术。并发症轻微，与其他腹腔镜绝育技术相比具有优势。
