Infertility pp 247-258 | Cite as

Tubal Microsurgery

  • Melvin L. Taymor

Abstract

The microsurgical techniques described in the previous chapter find their greatest application in reconstructive surgery of the fallopian tube. Microsurgical technique should be used throughout. Some surgeons use an operative microscope, but when only a brief period of magnification is required, loupes are usually sufficient. It is best to perform the surgery in the preovulative phase of the cycle so that a hemorrhagic corpus luteum will not interfere with the surgery. Prophylactic antibiotics are usually prescribed. Dye instilled into the tube is helpful in identifying the end of the tube and in proving patency at the end of the procedure. A pediatric catheter or a uterine manipulator* of transcervical cannula with sterile tube and syringe leading up to the operating field will allow the surgeon to control the flow of fluid into the fallopian tube from the uterus during the surgery. The techiques of fimbrioplasty, salpingostomy, tubocornual anastamosis, and tubal reversal have been described in detail in various texts and reviews, and only the highlights will be reviewed here.1–4 Either a unipolar microcautery or a laser cutting beam can be used to divide tissues. Studies to date show no advantages of one over the other.

Keywords

Titanium Catheter Syringe Nylon Peri 

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Copyright information

© Plenum Publishing Corporation 1990

Authors and Affiliations

  • Melvin L. Taymor
    • 1
    • 2
  1. 1.Massachusetts Institute of TechnologyCambridgeUSA
  2. 2.Harvard Medical SchoolBostonUSA

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