Tubal surgery - neosalpingostomy
Epublication WebSurg.com, Mar 2014;14(03). URL: http://websurg.com/doi/lt03engordts001
The functionality of the uterine (Fallopian) tube depends on the patency of the tubal lumen and on the integrity of the tubal mucosa. The tubal mucosa consists of 3 to 5 major folds and several minor folds with secondary folds on the top. Ciliated cells cover the folds. The tubal transport of gametes and embryos is a result of the ciliary beating activity and of the contractility of the tube through its muscular structure. The tubal mucosa is fragile and is very sensitive to infections such as Chlamydia, gonorrhea. In the most severe cases, the distal tubal end will be blocked with the formation of a hydrosalpinx. In case of hydrosalpinx, tubal surgery should always be performed. Depending upon the remaining quality of the tubal mucosa, a decision has to be made favoring either salpingostomy or salpingectomy.