The reconstruction of the fallopian tubes is recommended in cases where they have been affected by previous infections, adhesions from surgeries, or even by endometriosis, as well as when sterilization with tubal ligation has been performed and the woman wishes to conceive again.
The pathological and damaged tissue is removed, the healthy part is preserved, and in some cases suturing and anastomosis, meaning reconnection of the healthy ends of the tube, is performed.
The laparoscopic method is superior to open surgery and microsurgery, as it results in fewer adhesions and less tissue reaction, while the patient may be discharged from the hospital on the same day of the procedure. It is technically demanding, with success and pregnancy rates that may reach 80–85% in cases of salpingoplasty performed after previous sterilization with clips on the tubes. The rates are lower in cases of tubal inflammation.
