At the start of the operation, there are two blocked ends on each side. These ends must be prepared and opened with great skill and caution in order for the operation to proceed well. This photo shows a perfectly prepared proximal (near the uterus) portion of the tube with a (now) normal opening. It will be delicately attached to the corresponding opening on the distal (near the ovary) portion of the tube.
A large suture is passed below each segment of tube, bringing the two ends in close approximation so that a tension-free anastomosis can be performed.
Under high magnification the inner layer of tube containing the passageways are sutured together. Error of as little as one millimeter can cause falure of the operation.
The opening is sometimes probed to make certain that the suture placement is precise.
The two lumens (openings) are perfectly aligned.
The first layer has now been completed, re-establishing a complete communication from the uterus to the ovary.
A second layer has been placed to protect and strengthen the first. The tube once again is normal !!
The entire length of the tube is measured. Longer tubes generally allow pregnancy to occur more frequently and quickly.
After six weeks, healing will be complete, and this tube will be 'ready and waiting' !