[Important suggestions for achieving optimal conditions for success in operations for tubal patency restoration]

The most important factors are presented which cause that surgical treatment of tubal obliteration is not giving fully satisfactory results. The selection of patients for tubal reconstruction and the choice of operation term are discussed. The modern diagnostic methods in tubal obliteration are described with particular reference to USG and laparoscopy. The most important suggestions for the surgeon in preoperative, intraoperative and postoperative management are made, discussing the problems of macroscopic and microscopic surgery. Particular attention is called to prevention of postoperative obliterative syndrome (intraperitoneal infusion of dextran and local and systemic glycocortico-therapy). Pregnancy developing after surgical treatment of tubal obliteration requires careful monitoring and should be regarded as high risk pregnancy.