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  • Title: [Microsurgical treatment of tubal sterility].
    Author: Iakubovich DV.
    Journal: Akush Ginekol (Mosk); 1985 Mar; (3):5-8. PubMed ID: 3161368.
    Abstract:
    The pathology and genesis of tubal sterility are reviewed and various methods of treatment are discussed. It is shown that in many cases conservative methods are ineffective and, therefore, restorative surgical operations should be performed. Microsurgery opens new avenues in the treatment of tubal sterility by enabling gynecologists to determine the condition of tissues and reduce their traumatization. Synthetic suture materials help to prevent the pronounced inflammatory reaction that occurs with catgut and silk. Microsurgery reduces the risk of postoperative commisures. Most of the microsurgical operations on uterine tubes are performed to restore their permeability in cases of tubal sterility. Microsurgical technology can be used to transplant uterine tubes, with complete restoration of blood circulation. Various prosthetics are utilized to maintain permeability of the tubes after the microsurgery has been completed. The effectiveness of microsurgical treatments depends, to a great extent, on the proper selection of patients and their postoperative monitoring. Microsurgery should be performed by the most qualified surgeons and only in hospitals which are adequately equipped for thorough preoperative examinations, complex postoperative rehabilitation, and longterm postoperative monitoring.
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