Tubal Microsurgery

Microsurgery in female infertility is primarily used for tubal reanastosomosis (rejoining) in order to reverse a previous tubal ligation. Microsurgery allows the use of very fine sutures so that the delicate inner lining of the fallopian tube is not disrupted. The application of high-power optics is the basis for tubal microsurgery. The success following tubal microsurgery depends on the length of the remaining tubal segments and the quality of the fimbria. Tubal microsurgery is generally performed by laparotomy although the laparoscopic route has been used. Success rates also depend on the skill and experience of the microsurgeon. .