Question 3 Obstetrics & Gynecology 22/177M

Fimbriectomy is also known as:

A. Pomeroy technique
B. Uchida's procedure
C. Kroener's procedure
D. Irving's procedure

Fimbriectomy is also known as Kroener's
procedure. This procedure involves ligation of the distal ampulla of the tube with two permanent sutures. Then, resection of the infundibulum of the tube is done.

Pomeroy method - The fallopian tube is identified on each side, brought out through the incision. The middle portion is formed into a loop which is tied at the base with catgut and excised. This is the most commonly used technique.

Uchida's method- The tubal serosa is stripped off the muscular layer in the midsegment of the tube. The muscle layer is excised. The proximal end is ligated and buried in the broad ligament. This minimal excision of the tube preserves the potential for tuboplasty.

Irving's procedure - The mid-portion of the tube is ligated and the intervening portion is excised. The proximal end is buried in the myometrium and the distal end is buried in the broad ligament. It is a reliable method but irreversible and may require a laparotomy incision.