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Related Experiment Videos

Failures following fimbriectomy

K G Metz

    Fertility and Sterility
    |January 1, 1977
    PubMed
    Summary
    This summary is machine-generated.

    Fimbriectomy, a sterilization procedure, may lead to acquired tuboperitoneal fistulas, likely from catgut ligatures. Resection of the infundibulum during this procedure may offer questionable benefits.

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    Area of Science:

    • Reproductive Medicine
    • Surgical Pathology

    Background:

    • Bilateral fimbriectomies were performed between 1970-1973 for sterilization.
    • Seven pregnancies occurred by 1974 in patients who underwent the procedure.

    Purpose of the Study:

    • To investigate the cause of post-fimbriectomy pregnancies.
    • To compare acquired tuboperitoneal fistulas with congenital ones.
    • To evaluate the technique of fimbriectomy.

    Main Methods:

    • Morphological examination of four unilateral tuboperitoneal fistulas found in patients with post-fimbriectomy pregnancies.
    • Comparison of these fistulas with congenital tuboperitoneal fistulas.

    Main Results:

    • All four examined fistulas were determined to be acquired.

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  • The acquired fistulas were likely caused by catgut ligatures used for ampullary ligation.
  • Hydrosalpinx was frequently observed after fimbriectomy.

    • Conclusions:

    • The use of catgut ligatures in fimbriectomy may lead to acquired tuboperitoneal fistulas.
    • Resecting the infundibulum during fimbriectomy using the three-ligature technique appears to have questionable advantages.