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 post-op 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 your procedure. I really cannot think of an advantage to be gained by using an operative microscope other than other people in the operating room could look at the television that you see and watch you do surgery . It might have an advantage in teaching people do to do microsurgery .

Comments are closed.