Tubal Ligation – Pomeroy Technique

Pomeroy Tubal Ligation and Resection Pomeroy Tubal Ligation Tubal ligation and resection (removal) of a portion of the fallopian tube is the most frequent method of blocking the tubes. This involves tying a segment of tube and removing it. There are many variations of this technique. The tubal ligation procedure described by Dr. Ralph Pomeroy a century ago is most commonly used today. With the Pomeroy method of tubal ligation, part of the tube is elevated to create a loop or knuckle (top picture). An absorbable ligature is tied around the base of the elevated segment, and the tubal segment is cut out (middle picture). Tied and Cut Within a few days, the peritoneum (tissue that lines the organs of the abdominal cavity) grows over and covers the cut ends of the tubal segments. The cut ends of the fallopian tube separate as the ligature dissolves. The peritoneal covering and separation of the remaining tubal segments prevent them from re-attaching to each other (bottom picture). Doctors like the Pomeroy procedure because it is simple and effective. Pomeroy tubal ligation is most often performed after delivery by cesarean section. Pomeroy tubal ligation typically leaves two healthy segments of fallopian tube that can be rejoined through tubal ligation reversal surgery. The amount of tube removed can be determined prior to tubal reversal from the tubal ligation operative report and pathology report. If you have your doctor or hospital send us these reports, Dr. Monteith will revi...
Source: Tubal Ligation Reversal News - Category: Reproduction Medicine Authors: Tags: Uncategorized Source Type: news