J Reprod Med
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The two factors that probably contributed most to the bowel burns that have occurred during monopolar laparoscopy were the use of higher-than-necessary voltages and the electrical isolation of the salpinx. Preferably, low-peak voltages should be used. If the two-burn technique is used, desiccation should be from distal to proximal to avoid electrical isolation of the salpinx. ⋯ Bipolar forceps that can make a mechanical cut after desiccation are available for those who desire this feature. Metal trocar sleeves are recommended for use with the monopolar, single-puncture technique only. They are not necessary for the bipolar or double-puncture monopolar techniques.