ABSTRACT

Salpingostomy, or salpingoneostomy, is the creation of a new stoma in a fallopian tube that has a completely occluded distal end, commonly called hydrosalpinx. This represents the sequel of an even more advanced inflammatory process. Periadnexal and pelvic adhesions are frequently part of the picture. Depending on the anatomic location at which the new stoma is fashioned, salpingostomy may be terminal, ampullary, or isthmic. Isthmic and ampullary salpingostomy are of historic interest, except for the reversal of prior fimbriectomy (Kroener’s sterilization), where ampullary salpingostomy may have a place, if more than one-half of the ampulla is conserved.