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Tubal Reversal: Operative Microscope vs Surgical Loupes
Various people have raised the issue of using an operative microscope
instead of surgical loupes to do microsurgical tubal ligation reversal.
Which do use and why?
Let me say first that most people use surgical loupes as I do. The microscope
requires a much larger incision to be made in the abdomen during a tubal
reversal which means more postop pain and a longer recovery period. The
same folks that would tell you there is an advantage to using a microscope
will tell you in the next breath that you will need to stay in the hospital
for several days afterward. With loupes, the magnification is attached to
the surgeon's head and moves with his head to where he or she is looking.
There is no need to stop and turn the microscope and refocus. This saves
time and reduces the risk of infection after a tubal ligation reversal.
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"The microscope requires a much larger incision to be made in the
abdomen during a tubal reversal..."
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