The rekindled interest in tubal surgery within the past 15 years is due to several factors. The fascination with the technical capabilities provided by the operating microscope and the array of unique microsurgical instruments certainly are high among them. There are, however, other important factors. Sterilization has become the most common method of contraception in women over age 28 years. This has dramatically increased the request for reversal of sterilization because of remarriage or a child’s death. The rate of venereal disease has risen rapidly since the early 1970s. Each new case of salpingitis is reported to result in a 15% probability of tubal obstruction.7 This increase in case load combined with improved technical capacity has significantly increased the number of attempts to correct damaged fallopian tubes.
KeywordsFallopian Tube Distal Tube Indigo Carmine Operating Microscope Tubal Lumen
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- 4.Home HW, Clyman M, Debrovner C, et al: The prevention of postoperative pelvic adhesions following conservative operative treatment for human infertility. Int J Fertil 1973; 18: 109–115.Google Scholar