[Microsurgical tubal anastomosis. A new suture technic]

A modification of the conventional tubal anastomosis technique bearing on the suture of the musculo-muscular layer is described. The extra-mucosal suture suggested is the most important point of the operation. The new technique applies to isthmo-isthmic, isthmo-interstitial and isthmo-uterine anastomoses but also to ampullo-isthmic, interstitial or uterine anastomoses. Two separate continuous sutures with a non-absorbent 8/0 or 9/0 thread are performed, one at 4, 6 and 8 hours, the other at 10, 12 and 2 hours, then ligated together. The advantages of this technique is that it is more rapid and less traumatic than others and gives very good anatomical and functional results.