Tubal recanalisation
Tubal factor infertility, a significant cause of female infertility, results mostly from the consequences of pelvic inflammatory disease, endometriosis, and postoperative pelvic adhesions.
Microsurgery remains an important operative technique for the management of tubal obstruction. It was introduced into gynecology primarily to improve the results of tuboplasty. In essence it involves magnification, the use of gentle tissue handling, fine sutures, meticulous methods for hemostasis, and copious irrigation. These principles are essential during laparoscopy or laparotomy. Operative laparoscopy using electrical, thermal, and laser energy, sharp and blunt dissection, ligation, and suturing techniques established the advantages of this approach for gynecologic procedures.