About Video

This video demonstrates microsurgical tubotubal anastomosis. This video is a case of 35-years-old female patient, present complaints secondary infertility due to tubal ligation 8 years back. Sonography: normal uterus and bilateral adnexa. Presumptive diagnosis: secondary infertility due to tubal ligation. Surgical procedure: On inserting the 10 mm telescope, normal size and shape uterus seen. On both tubes Falope-rings are seen almost at mid segment. Diluted vasopressin injected on right sided mesosalpinx. Fresh cuts given on both obliterated ends of right fallopian tube. Now patency of lateral segment is checked by chromoperturbator and medial segment patency is confirmed by Rubin’s cannula in cervix. Both segments showing good spill. Now the ipsilateral suturing is started through left sided ports using Karl Storz micro-needle holder with vicryl 6-0. First bite is taken at 6 o’clock position through tubal muscular part. Next three sutures are taken at 12, 3 and 9 o’clock position. Serosa closure done, by a single stitch at 12 o’clock position. Mesosalpinx of tube is approximated by vicryl 6-0 at the base of both tubes (Figs 2.1B to G). At the end tubal patency checked–good spill seen.