(A) A 2 to 3 cm fenestration is made beneath the isthmic portion of tube either with scissors or bluntly with a hemostat.
(B) Ligation of the tube. Pulling up on the suture during ligation or during transection of the tube can shear the tube off the underlying mesentery, resulting in troublesome bleeding.
(C) Portion of tube removed.
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.
