A NEW CONCEPT FOR ANASTOMOSIS OF THE FALLOPIAN-TUBE - TISSUE RECONSTRUCTION WITH NONPENETRATING, ARCUATE, LEGGED CLIPS IN THE RAT MODEL

Objective: To evaluate the titanium Kirsch-Zhu microclip microsurgical reanastomoses of the fallopian tubes. Design: Compare the reanastomos es of the rat uterine horn between Kirsch-Zhu clips (Cushman Engineeri ng, Albuquerque, NM) (group A) and conventional suture microsurgical t echniques (group B). Setting: Microsurgery Research Laboratory, Loma L inda University Medical Center, Loma Linda, California. Patients, Part icipants: Fifteen SD rats Harlan (Harlan Sprague-Dawley Corp., Indiana polis, IN) were done in groups A and B and six in control group (C). M ain Outcome Measure: Pregnancy rate, litter size, tissue of procedure, and histologic results. Results: The clip technique was shorter in pr ocedure time and resulted in equal fertility rate and litter size. His tologically, there were less granulomatous formation and histiocytic i nflammation, but muscularis thinning and fibrosis were noted with the clip. Conclusions: The Kirsch-Zhu clip has potential for application t o human fallopian tube reanastomoses.