Having been impressed by the many warnings in the literature with citations of the failures in the ordinarily accepted methods of sterilization of the female, and having had such an experience in my own work, I have attempted to improve the technic of tubal resection.
Bearing in mind the tendency to reanastomosis, I have resected and ligated by subserous dissection, with the result that the ligated ends are buried in their natural beds with a bridge of broad ligament connective tissue intervening. The technic is as follows:
Beginning over the uterine cornu, the serosa is slit with a knife along the upper surface of the tube for about 4 cm. (A, in diagram). By blunt dissection, perhaps better accomplished with very small blunt scissors or mosquito forceps, the denuded section of tube is lifted from its bed (B). Each end is then ligated with linen and the intervening portion resected