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Ultra-low anterior resection with intersphincteric dissection with colonic J-pouch anal anastomosis

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Laparoscopic Tubal Anastomosis

New Technologies
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Song, Md, Facog, Facs Jonathan Y.,
Tlc Medical Group, Sc,
St. Charles


ABSTRACT:
This video demonstrates the laparoscopic technique for performing tubal anastomosis to repair tubal disease involving segmental occlusion, or reversing tubal sterilization. SETTING: Outpatient surgical center in the Chicago suburb. PATIENTS: Reproductive age women with severe tubal disease involving tubal occlusion, or women with previous tubal ligations seeking tubal patency and fertility. INTERVENTIONS: A step-by-step video presentation of our technique of laparoscopic tubal anastomosis, which consists of minimal surgical trauma that could be performed in an outpatient surgical setting, and the end result during a second look laparoscopy. RESULTS: The majority of the patients who have undergone this approach demonstrated tubal patency, and many were able to conceive. There were two documented cases of ectopic pregnancy involving the repaired tube. CONCLUSIONS: In most cases with a certain degree of expertise, abdominal entrance, evaluation of tubal disease, visualization of previous sterilization, and tubal reconstructive surgery with anastomosis, are much easily performed by laparoscopy than by laparotomy. Preliminary results in over two hundred cases are very encouraging, and future studies will determine the true value of this technique compared to traditional methods.
laparoscopic approach to an anterior lumbar interbody fusion at L5-S1 and L4-L5
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