Laparoscopic Tubal Surgery and Adhesiolysis

Abstract

Major advances in instrument design during the past two decades have allowed the development of endoscopie techniques for correction of pelvic pathology. These reconstructive procedures are in many circumstances supplanting traditional open abdominal microsurgery because of equivalence in outcomes and lower patient morbidity and expense. Operative laparoscopy provides excellent visualization and, when performed properly, fulfills the major tenets of microsurgery. These principles include the precise dissection and approxima-tion of planes with minimal damage to adjacent tissue, use of atraumatic instruments, frequent irrigation to maintain serosal surface moisture, meticulous hemostasis, and minimal introduction of foreign bodies such as glove powder and lint into the peritoneal cavity.