Posted By: mnmt on 2007-08-17
In Reply to: she had a tubal pregnancy with a s/l liposcopy..thank you - Deborah
Could it be laparoscopy?
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Subject: tubal question
Subject: tubal ostia???
Could the pt possibly be thinking a tubal could help her? sm
Is a PA or nurse dictating this? A lot of times they direct-quote patients.
Pomeroy tubal ligation
Subject: Pomeroy tubal ligation
she had a tubal pregnancy with a s/l liposcopy..thank you
Subject: she had a tubal pregnancy with a s/l liposcopy..thank you
s/o esher tubal ligation. thanks.
Subject: s/o esher tubal ligation. thanks.
Is it Parkman tubal ligation? TIA nm
Subject: Is it Parkman tubal ligation? TIA nm
Here's a tubal ligation op report if that helps.
Subject: Here's a tubal ligation op report if that helps.
Laparoscopic Bilateral Tubal Ligation Report
Preoperative Diagnosis: Multiparous female desiring permanent sterilization.
Title of Operation: Laparoscopic bilateral tubal ligation with Falope rings
Laparoscopic Bilateral Tubal Ligation
Anesthesia: General endotracheal
Findings At Surgery: Normal uterus, tubes, and ovaries.
Description of Operative Procedure
After informed consent, the patient was taken to the operating room where general anesthesia was administered. The patient was examined under anesthesia and found to have a normal uterus with normal adnexa. She was placed in the dorsal lithotomy position and prepped and draped in sterile fashion. A bivalve speculum was placed in the vagina, and the anterior lip of the cervix was grasped with a single toothed tenaculum. A laparoscopic bilateral tubal ligation uterine manipulator was placed into the endocervical canal and articulated with the tenaculum. The speculum was removed from the vagina.
An infraumbilical incision was made with a scalpel, then while tenting upon the abdomen, a Verres needle was admitted into the intra-abdominal cavity. A saline drop test was performed and noted to be within normal limits. Pneumoperitoneum was attained with 4 liters of carbon dioxide. The Verres needle was removed, and a 10 mm trocar and sleeve were advanced into the intra-abdominal cavity while tenting up on the abdomen. The laparoscope was inserted and proper location was confirmed. A second incision was made 2 cm above the symphysis pubis, and a 5 mm trocar and sleeve were inserted into the abdomen under laparoscopic visualization without complication.
A survey revealed normal pelvic and abdominal anatomy. A Falope ring applicator was advanced through the second trocar sleeve, and the left Fallopian tube was identified, followed out to the fimbriated end, and grasped 4 cm from the cornual region. The Falope ring was applied to a knuckle of tube and good blanching was noted at the site of application. No bleeding was observed from the mesosalpinx. The Falope ring applicator was reloaded, and a Falope ring was applied in a similar fashion to the opposite tube. Carbon dioxide was allowed to escape from the abdomen.
The instruments were removed, and the skin incisions were closed with #3-O Vicryl in a subcuticular fashion. The instruments were removed from the vagina, and excellent hemostasis was noted. The patient tolerated the procedure well, and sponge, lap and needle counts were correct times two. The patient was taken to the recovery room in stable condition.
tubal ligation Hoka ? technique
Subject: tubal ligation Hoka ? technique
I found a bunch of techniques, but not this one.
s/l belcor clamp...used in tubal ligation
Subject: s/l belcor clamp...used in tubal ligation
yep, just google Essure tubal occlusion
Subject: yep, just google Essure tubal occlusion
Koshi clips for a tubal ligation?
Subject: Koshi clips for a tubal ligation?
Thanks for the help.
bilateral tubal ligation method???
Subject: bilateral tubal ligation method???
is it Parkland method for a bilateral tubal ligation? I am having some trouble here.
Tubal ligation - s/l "OB lap strips were inserted". TIA nm
Subject: Tubal ligation - s/l "OB lap strips were inserted". TIA nm
Stedman's shows Parkland tubal ligation (nm)
Subject: Stedman's shows Parkland tubal ligation (nm)
Laparoscopic tubal ligation using Falope ring.
Subject: Laparoscopic tubal ligation using Falope ring.
Tubal ligation with s/l Sochi or Hochi clips?
Subject: Tubal ligation with s/l Sochi or Hochi clips?
Can you hear "BTL?" bilateral tubal ligation
Subject: Can you hear "BTL?" bilateral tubal ligation
OB.. switching her to Femcon for a s/l tubal birth control pill..?? thanks
Subject: OB.. switching her to Femcon for a s/l tubal birth control pill..?? thanks
a Krise??? manipulator was placed into the endocervical canal? Tubal Ligation...
Subject: a Krise??? manipulator was placed into the endocervical canal? Tubal Ligation...