A new concept for anastomosis of the fallopian tube: tissue reconstruction with nonpenetrating, arcuate, legged clips in the rat model.

Abstract:

OBJECTIVE:To evaluate the titanium Kirsch-Zhu microclip microsurgical reanastomoses of the fallopian tubes. DESIGN:Compare the reanastomoses of the rat uterine horn between Kirsch-Zhu clips (Cushman Engineering, Albuquerque, NM) (group A) and conventional suture microsurgical techniques (group B). SETTING:Microsurgery Research Laboratory, Loma Linda University Medical Center, Loma Linda, California. PATIENTS, PARTICIPANTS:Fifteen SD rats Harlan (Harlan Sprague-Dawley Corp., Indianapolis, IN) were done in groups A and B and six in control group (C). MAIN OUTCOME MEASURE:Pregnancy rate, litter size, tissue of procedure, and histologic results. RESULTS:The clip technique was shorter in procedure time and resulted in equal fertility rate and litter size. Histologically, there were less granulomatous formation and histiocytic inflammation, but muscularis thinning and fibrosis were noted with the clip. CONCLUSIONS:The Kirsch-Zhu clip has potential for application to human fallopian tube reanastomoses.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Tredway DR,Kirsch WM,Zhu YH,Weber K,Norburg M,Saukel GW,Seraj I

doi

10.1016/s0015-0282(16)56955-6

subject

Has Abstract

pub_date

1994-09-01 00:00:00

pages

624-9

issue

3

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(16)56955-6

journal_volume

62

pub_type

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