ABSTRACT
The end-to-end anastomosis of the human Fallopian tube, when the lumen diameters are even, is performed following a standard, universally accepted microsurgical technique. This chapter presents our own microsurgical technique for end-to-end anastomosis of the Fallopian tube, in the case of different lumen diameters. With lumens differing in diameters, several techniques are employed as a result of the many problems arising when the best anatomical and functional reconstruction is desired. When an end-to-end anastomosis is necessary between parts with differing diameters the specific anatomic structures of each tube part, especially its muscle layer thickness, lead the microsurgeons to seek the most appropriate technique for every case. The following microsurgical technique, using the operating microscope, is indicated for end-to-end anastomosis when a significant difference in diameters of tubal lumen exists between isthmus-to-isthmus, isthmus-to-proximal part of ampulla, and isthmus to the cornual or interstitial part of the tube.
