What is Tubal Reversal?

[Mack]

To understand the techniques of tubal reversal surgery, it is helpful
to visualize the anatomy of the normal fallopian tube. The fallopian
tube is a muscular organ extending from the uterus and ending next to
the ovary. The tube is attached to the ovary by a small ligament. The
inner tubal lining is rich in cilia. These are microscopic hair-like
projections that beat in waves that help move the egg or ovum to the
uterus in conjunction with muscular contractions of the tube.
Fallopian Tube Anatomy
The fallopian tube is normally about 10 cm (4 inches) long and
consists of several segments. Starting from the uterus and proceeding
outward, these are the:

* Interstitial segment - extends from the uterine cavity through
the uterine muscle
* Isthmic segment - narrow muscular portion adjacent to the uterus
* Ampullary segment - wider and longer middle part of the tube
* Infundibular segment - funnel shaped segment next to the
fimbrial end
* Fimbrial segment - wide opening at the end of the tube facing
the ovary

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