A nurse is assisting with a procedure that involves the Pomery method for the fallopian tube. What is the goal of this surgical procedure?

Question

Question

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AIIMS NORCET 7 Prelims Memory Based Paper 2024

Answer 1

Correct Answer: To reverse tubal ligation

Rationale:

The Pomery method is a surgical procedure used primarily for tubal ligation, which is a form of permanent female sterilization. However, the question specifically refers to reversing the effects of this procedure.
Tubal ligation involves cutting, tying, or otherwise blocking the fallopian tubes to prevent eggs from reaching the uterus for fertilization. The goal of reversing this process is to restore fertility by reconnecting or unblocking the fallopian tubes.
Reversal of tubal ligation is a complex procedure that requires microsurgery to rejoin the previously severed sections of the fallopian tubes. The success of the reversal depends on factors such as the method originally used for ligation, the length of the remaining healthy tube, and the patient's overall health.

Explanation of Other Options:

To prevent ectopic pregnancy

Rationale: Tubal ligation is actually performed to prevent pregnancy, including ectopic pregnancies, which occur when a fertilized egg implants outside the uterus, usually in the fallopian tubes. The Pomery method does not prevent ectopic pregnancies; it is a form of sterilization.

To enhance fertility in women with blocked tubes

Rationale: Enhancing fertility in women with blocked fallopian tubes typically involves procedures like tubal cannulation or in vitro fertilization (IVF). The Pomery method is not used for enhancing fertility but rather for sterilization.

To treat uterine fibroids

Rationale: Uterine fibroids are benign tumors in the uterus that are often treated with medication, myomectomy, or hysterectomy. The Pomery method does not address uterine fibroids as it is specifically related to the fallopian tubes and not the uterus.

Conclusion:

The Pomery method is primarily associated with tubal ligation for the purpose of sterilization. Reversing this procedure aims to restore fertility by reconnecting the fallopian tubes, making it distinct from treatments for ectopic pregnancies, enhancing fertility in blocked tubes, or treating uterine fibroids.