TRANSPOSITION OF THE TUBE AS A THERAPEUTI C POSSIBILITY IN SPECIAL CASES OF TUBAL STERILITY

This is a report on a new method of microsurgical transposition of the Fallopian tube. It was developed to deal with congenital malformation s or with the different anatomic remnants after pelvic surgery or pelv ic inflammatory diseases. The tube is mobilised by severing the mesosa lpinx with the unipolar microelectrode without damaging the longitudin al vessels. After mobilisation, the bends of the tube disappear and th e length increases almost doublefold. Then the tube can be laid to the contralateral ovary without any tension. The tube must be fixed to th e ovary in such a way, that the fimbrial end is mobile enough to lay o nto the ovary during ovulation. Up to now, six patients with longstand ing tubal sterility were operated upon. Three of them became pregnant, one twice. There were no ectopic pregnancies and no abortions.