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Pomeroy Method

The Pomeroy technique is one of the most frequent methods of tubal ligation surgery and is characterized by resection (or removal) of a portion of the fallopian tube. This involves tying a suture around segment of the tube and removing. Many surgeons like the Pomeroy procedure because it is simple and effective. Pomeroy Tubal Ligation is most often performed after delivery by Cesarean section. Pomeroy tubal ligation typically leaves two healthy segments of fallopian tube that can be rejoined through tubal reversal surgery. The amount of tube removed can be determined prior to tubal reversal from the tubal ligation operative report and pathology report. If you have your surgeon or hospital send us these reports, Dr. Storment will review them and let you know what your prognosis for pregnancy is after tubal reversal surgery. Variations of the Pomeroy tubal ligation technique include the length and location of the tied and cut tubal segment, number and type of ligatures placed around the tube, and whether the cut ends of the tube were also crushed or coagulated. These variations of the Pomeroy procedure  determine the lengths of tubal segments remaining that can be repaired. The Pomeroy method of tubal ligation is a good one to have if you are considering tubal reversal surgery. Approximately two-thirds of women with a Pomeroy tubal ligation become pregnant following tubal reversal surgery. One of the main problems with reversing the Pomeroy technique of tubal ligation is the location in which the ligatures are tied. If the surgeon places the ligature too close to the end of the fallopian tube (near the fimbria end), there is often not enough tube remaining to reattach.

Pomeroy Technique Step 1: An absorbable ligature (suture silk) is tied around the base of the elevated segment.
Pomeroy Technique Step 2: The tubal segment between the ligatures is cut out.
Pomeroy Technique Step 3: The ligatures are removed typically leaving two healthy segments of the fallopian tube that can be rejoined later through tubal reversal surgery.

 

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