Anatomical principles of microsurgery of the tubal arteries

Topographical relationships and size of the arteries of the mesovarium and mesosalpinx were evaluated from the point of view of their usefulness in microsurgical operations on the oviduct (tuba uterina). The results of our investigations showed that reconstitution of the continuity of the arterial vessels during oviduct transplantation seems to be anatomically warranted with respect to the uterine artery (arteria uterina). During ampullar salpingostomy the artery passing from the ovarian artery (arteria ovarica) should be saved and anastomosed with the uterine artery or its tubal branch (ramus tubarius arteriae uterinae) or with the artery passing under the serous membrane of the isthmus. Isthmic salpingostomy does not require a separate procedure in order to retain arterial blood supply to the oviduct.