Laparoscopic Tubal Recanalization

  • 4,641 views
Uploaded on

laparoscopic tubal recanalization anastomosis tuboplasty infetility ivf Pradeep Garg New Delhi india aiims fallopian tube Microsurgical Tubal Obstruction Tubal sterilization reversal Tubal …

laparoscopic tubal recanalization anastomosis tuboplasty infetility ivf Pradeep Garg New Delhi india aiims fallopian tube Microsurgical Tubal Obstruction Tubal sterilization reversal Tubal Obstruction Sterilization Reversal tuberculosis genital

  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
No Downloads

Views

Total Views
4,641
On Slideshare
0
From Embeds
0
Number of Embeds
2

Actions

Shares
Downloads
67
Comments
1
Likes
2

Embeds 0

No embeds

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
    No notes for slide

Transcript

  • 1. Laparoscopic Tubal Recanalization Dr. Pradeep Garg Assistant Professor Dept. of Obst. & Gynae All India Institute of Medical Sciences, New Delhi Email:pkgarg_in2004@yahoo.com
  • 2. Laparoscopic microsurgery is a new discipline that synergizes the potential of classical microsurgery and laparoscopy Introduction Dr. Pradeep Garg, Assistant Professor, Obs. & Gynae, All India Institute of Medical Sciences, New Delhi
  • 3. Advantages of Laparoscopic Tubal Recanalization
    • All microsurgical principles are well maintained like magnification, tissue handling, haemostasis & lavage
    • Avoids laparotomy & tissue trauma associated with packing & retractors
    • Minimal tissue handling & trauma
    • Adhesions are minimal
    • Cosmetically far better
    • Faster recovery
    Dr. Pradeep Garg, Assistant Professor, Obs. & Gynae, All India Institute of Medical Sciences, New Delhi
  • 4. Indications of Tubal Anastomosis
    • Reversal of tubal sterilization procedure
    • Mid-tubal block secondary to various pathology
    • Tubal occlusion secondary to ectopic pregnancy treatment
    • Salpingitis isthmica nodosa
    • Failed tubal cannulation for proximal tubal block
    Dr. Pradeep Garg, Assistant Professor, Obs. & Gynae, All India Institute of Medical Sciences, New Delhi
  • 5. Contraindications
    • Aged 40 years or older
    • Decreased ovarian reserve or ovarian failure
    • Extensive tubal damage
    • Hydrosalpinx with a diameter of more than 3 cm
    • Inadequate proximal or distal tubal segment for reanastomosis
    • Projected tubal length of less than 3 cm after the reconstruction procedure
    • Extensive pelvic/peritubal adhesions
    • Any contraindication to pregnancy or surgery
    • Severe male factor infertility or male sterility
    Dr. Pradeep Garg, Assistant Professor, Obs. & Gynae, All India Institute of Medical Sciences, New Delhi
  • 6. Instrumentation
    • High resolution three-chip camera
    • Good light source
    • High resolution monitor
    • Microsurgical hand instruments
    Dr. Pradeep Garg, Assistant Professor, Obs. & Gynae, All India Institute of Medical Sciences, New Delhi
  • 7. Chromopertubator and injection needle Dr. Pradeep Garg, Assistant Professor, Obs. & Gynae, All India Institute of Medical Sciences, New Delhi
  • 8. Suction irrigation cannula and curve monopolar hook Dr. Pradeep Garg, Assistant Professor, Obs. & Gynae, All India Institute of Medical Sciences, New Delhi
  • 9. Microneedle holder and micrograsping forceps Dr. Pradeep Garg, Assistant Professor, Obs. & Gynae, All India Institute of Medical Sciences, New Delhi
  • 10. Ultramicro scissors Dr. Pradeep Garg, Assistant Professor, Obs. & Gynae, All India Institute of Medical Sciences, New Delhi
  • 11. Dr. Pradeep Garg, Assistant Professor, Obs. & Gynae, All India Institute of Medical Sciences, New Delhi 3.5 mm microtrocars with automatic valve
  • 12. Movie To see videos on laparoscopic gynae surgeries please logon to www .youtube.com and type Pradeep aiims
  • 13. Conclusion
    • Laparoscopic microsurgery offers all the benefits of traditional microsurgery coupled with the inherent advantages of laparoscopy
    Dr. Pradeep Garg, Assistant Professor, Obs. & Gynae, All India Institute of Medical Sciences, New Delhi
  • 14.
    • For queries mail me at
    • pkgarg_in2004@yahoo.com
  • 15.