Metz K G
Fertil Steril. 1977 Jan;28(1):66-71.
From 1970 through 1973, 388 bilateral fimbriectomies were performed. By the end of 1974, seven pregnancies had occurred, and in four of these patients a resterilization laparotomy was performed. All four cases showed a unilateral tuboperitoneal fistula. These fistulas were examined and compared morphologically with congenital tuboperitoneal fistulas. This proved that all four fistulas were acquired and that they were probably caused by the catgut ligatures used for ampullary ligation. The rather frequent occurrence of hydrosalpinx after fimbriectomy is mentioned. Finally, it seems of questionable advantage to resect the infundibulum as part of a fimbriectomy using the three-ligature technique.
1970年至1973年期间，共进行了388例双侧输卵管伞端切除术。到1974年底，出现了7例妊娠，其中4例患者接受了绝育剖腹手术。所有4例均显示单侧输卵管腹膜瘘。对这些瘘管进行了检查，并在形态学上与先天性输卵管腹膜瘘进行了比较。结果证明，所有4例瘘管均为后天性，可能是由用于壶腹部结扎的肠线结扎所致。文中提到了输卵管伞端切除术后输卵管积水相当常见的情况。最后，在使用三结扎技术进行输卵管伞端切除术时，将输卵管漏斗部作为切除的一部分，其优势似乎值得怀疑。
