Laparoscopic Cannula Research Articles

Laparoscopy and electrocauterization of fallopian tubes.

Laparoscopy and electrocauterization of fallopian tubes as performed by Dr. Tawfik H. Rizkallah are described. Diagnostic indications for laparoscopy include primary and secondary amenorrhea infertility suspected unruptured ectopic pregnancy unexplained pelvic pain and suspected pelvic endometriosis and tuberculosis. Laparoscopy can also be utilized in the differential diagnosis of small pelvic masses. Surgical indications include tubal sterilization lysis of pelvic adhesions biopsy of ovaries aspiration of benign ovarian cysts and removal of intrauterine devices from the pelvic cavity. Laparoscopy is best performed in an operating room with the patient under general anesthesia and with endotracheal intubation. It is of utmost importance that the operator check the instruments light source and carbon dioxide supply to insure the proper functioning of all equipment before the examination is begun. The procedure is described including preparation and positioning of the patient the incision insertion of pneumoperiotoneum cannlla the pneumoperitoneum testing the pneumoperitoneum placement of the laparoscopic cannula and trocar insertion of the laparoscopic cannula and trocar inspection of the pelvic organs incision for probe or tubal cauterization forceps insertion of ancillary trocar and cannula and the ancillary trocar and cannula entering the abdominal cavity under direct vision. The sterilization procedure is also described including the placement of the Palmer biopsy cauterizing forceps cauterizing the fallopian tube transection of the fallopian tube and the removal of the specimen. Dr. S.J. Behrman states in his critique that the technique described is fundamental and proven although there may be certain points of differences among operators. This was also the view of Dr. R.S. Neuwirth in his critique.