(A) A loop of the isthmic portion of the tube is elevated and ligated at its base with one or two ties of no. 1 plain catgut suture. If performed through a minilaparotomy incision, these ties should be held long to prevent premature retraction of the tubal stumps into the abdomen when the loop of tube is transected.
(B) A fenestration is bluntly created through the mesentery within the tubal loop, and each limb of the tube on either side of this fenestration is individually cut. The cut ends of the tube are inspected for hemostasis and allowed to retract into the abdomen.
Reproduced with permission from: Peterson HB, Warshaw JS, Pollack AE, Levy BS. Tubal sterilization. In: TeLinde's Operative Gynecology, 11th ed, Jones HW, Rock JA (eds), Lippincott Williams & Wilkins, 2015. Copyright © 2015 Lippincott Williams & Wilkins (
www.lww.com). Unauthorized reproduction of this material is prohibited.
