Question

The fimbriectomy procedure of tubal sterilization is known as which method?

• A. Uchida method
• B. Irving method
• C. Madlener technique
• D. Kroener method

Hint:

Fimbriectomy = removal of the fimbrial end - that eponym is Kroener.

Answer 1

The Correct Option is D

Step 1: The question asks which named tubal sterilization technique is a fimbriectomy, meaning removal of the fimbrial end of the fallopian tube. Step 2: The Kroener method is the fimbriectomy procedure - the distal fimbrial portion of the tube is excised after ligation, so option d is correct. Step 3: Differentiating the distractors: in the Uchida technique a saline solution is injected subserosally in the mid tube to raise a bleb before excision; in the Irving method the tube is ligated and divided and the proximal stump is buried into the uterine wall. Step 4: In the Madlener technique a loop of the tube is crushed with an artery forceps and ligated, which is the simplest method. None of these three removes the fimbria, so the only fimbriectomy among the options is the Kroener method.