Special Surgical Procedures II
LESSON 2: Procedures in Gynecological and Obstetrical Surgery
2-42
2-42. SALPINGOSTOMY (TUBAL PLASTY)
a. General. This operation involves the removal of the obstructed portion of the tube and suspension of the remaining portion to the side of the pelvic wall or placement of it into the uterine cavity. These procedures are for the purpose of restoring fertility.
b. Operative Procedure. One of several techniques is carried out after salpingectomy has been performed. The Estes technique or some modification of it is usually followed. In the Estes technique, the convex surface of the ovary is excised and implantation of the remainder is made in the myometrium, communicating with the cavity.
