OBJECTIVE To review tuboplasty techniques for alleviating fallopian tube blockage. DESIGN A step-by-step explanation of the techniques that comprise tuboplasty-fimbrioplasty, salpingo-ovariolysis, and salpingostomy-with surgical video footage. SETTING Academic medical center. PATIENT A 28-year-old G0 female patient with primary infertility and bilateral fallopian tube occlusion wanting to avoid in vitro fertilization. INTERVENTION(S) Tuboplasty and its component techniques of fimbrioplasty, salpingo-ovariolysis, and salpingostomy are demonstrated in a stepwise fashion for a case of mild tubal disease. Fimbrioplasty includes identifying the agglutinated or phimosed fimbrial end and gently opening it with fine forceps and blunt microdissection. Salpingo-ovariolysis is demonstrated with video and comprises: 1) surveying the anatomy; 2) applying traction to delineate the adhesions; and 3) transecting the adhesions with microsurgical scissors or electrosurgery. Finally, the steps of a salpingostomy are demonstrated, including: 1) identifying the length of the fallopian tube; 2) performing chromotubation to delineate tubal obstruction; 3) creating a salpingostomy at the terminal end; and 4) suturing open the salpingostomy site circumferentially to evert the edges. MAIN OUTCOME MEASURE(S) Successful restoration of normal tubal anatomy and identification of the location of tubal occlusion to guide salpingostomy site placement. RESULT(S) The fallopian tubes were assessed bilaterally and noted to have mild tubal disease and therefore were appropriate for tuboplasty. Normal tubal anatomy was restored bilaterally through salpingo-ovariolysis. Subsequent identification of the area of tubal occlusion bilaterally and salpingostomy were performed to create a patent fallopian tube able to pick up an oocyte from the ovary and facilitate fertilization. CONCLUSION(S) Tubal reconstructive surgery remains an important option to offer patients who want to avoid in vitro fertilization and who have mild tubal disease.

中文翻译：

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腹腔镜输卵管成形术治疗轻度远端输卵管疾病

目的 回顾用于缓解输卵管阻塞的输卵管成形术技术。设计 对包括输卵管成形术-纤毛成形术、输卵管-卵巢溶解术和输卵管造口术在内的技术的逐步解释 - 带有手术录像。设置学术医疗中心。患者 一名 28 岁 G0 女性患者，患有原发性不孕症和双侧输卵管闭塞，希望避免体外受精。干预措施 输卵管成形术及其纤维成形术、输卵管卵巢溶解术和输卵管造口术的组成技术以逐步的方式展示用于轻度输卵管疾病的病例。Fimbrioplasty 包括识别凝集或包茎的菌毛末端，并用细镊子和钝显微切割轻轻打开它。输卵管卵巢溶解症通过视频进行演示，包括：1) 解剖解剖；2) 牵引勾画粘连；3)用显微剪刀或电刀横切粘连。最后，演示了输卵管造口术的步骤，包括：1）确定输卵管的长度；2) 行色管术以勾画输卵管阻塞；3) 在末端创建输卵管造口术；和 4) 缝合打开输卵管造口部位周向外翻边缘。主要结果测量成功恢复正常的输卵管解剖结构并确定输卵管闭塞的位置以指导输卵管造口术部位的放置。结果双侧输卵管检查发现输卵管有轻度疾病，因此适合进行输卵管成形术。双侧输卵管卵巢溶解术恢复了正常的输卵管解剖结构。随后对双侧输卵管闭塞区域进行了鉴定，并进行了输卵管造口术以创建能够从卵巢中拾取卵母细胞并促进受精的输卵管通畅。结论输卵管重建手术仍然是为希望避免体外受精和患有轻度输卵管疾病的患者提供的重要选择。