Fig. 1. Pomeroy technique. A. A loop of the proximal portion of the tubal ampulla is elevated to reveal the vascular supply of the mesosalpinx. B. A strand of absorbable suture material is used to bilaterally ligate the tube and simultaneously provide hemostasis. C. A hemostat is placed on the suture strands immediately distal to the knot to prevent the tube from retracting into the abdomen. The open blade of the Metzenbaum scissors is used to pierce the mesosalpinx and approximately 1 cm of the tube is excised. D. The end result following dissolution of the absorbable suture material with return of the proximal and distal portions of the tube to their normal anatomic position.