Pubic Hairline Research Articles

A MODIFIED LARYNGOSCOPE FOR FEMALI STERILISATION

The Fallopian tubes can be easily identified using a modified laryngoscope for female sterilization. The scar is small and placed inside the pubic hairline. No insufflation of gas is needed. The operation requires only 10-12 minutes. No morbidity has followed. A standard laryngoscope has been modified with a straight MacGill blade in place of the usual curved MacIntosh blade. A right-angled fiberoptic attachment has replaced the light bulb. General anesthesia has been used. The bladder has been catheterized preoperatively. A 2 cm incision is made inside the pubic hairline. The peritoneum is grasped and incised. Forceps used are left in place to locate the peritoneal edges later. The tubes and ovaries are visible with the blade introduced part way. Tubes can be grasped and drawn into the wound. Any standard tubal occlusion can then be done. A uterine cannula to maneuver the uterus has not been needed. The abdomen is closed routinely.

A technique for teaching operative laparoscopy

To allow the instructor to observe the students operative technique a 2nd trocar and telescope are inserted in the lower quadrant on the side of the teacher in the same manner as an ancillary puncture site. The operating instrument itself is placed in the lower quadrant on the side opposite the 2nd telescope. A 2nd light source is not attached although this can be done. The teacher relies on the light from the primary telescope which helps locate the students position. The carbo n dioxide stopcock must be closed on the 2nd telescope or the pneumoperitoneum will be lost. The extra incision adds little to postoperative discomfort and risk. The main disadvantage is a slightly different view of the pelvis to which the instructor must learn to adjust; this difference can be diminished if the 2nd telescope puncture is higher above the pubic hairline than the usual ancillary puncture site.