How are the fallopian tubes visualized during postpartum tubal sterilization?

Updated: Jun 18, 2018
  • Author: Nan G O'Connell, MD; Chief Editor: Christine Isaacs, MD  more...
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Answer

Answer

It is critical to correctly identify the fallopian tube before ligation or clip application.

In situations in which visualization is difficult, Trendelenburg and lateral tilt positions may help as well as the use of small laparotomy sponges.

When performing a postpartum modified Pomeroy tubal ligation, holding one suture long before excision of the tubal portion prevents retraction of the tube back into the abdomen before hemostasis can be assessed and the tubal ostia visualized.


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