Owen E R, Pickett-Heaps A A
Aust N Z J Surg. 1977 Jun;47(3):300-5. doi: 10.1111/j.1445-2197.1977.tb04293.x.
A rational approach to the reconstruction of the Fallopian tube, blocked either intentionally or by disease processes, can only be made on the basis of sound anatomical and physiological understanding. It would accordingly not be logical to expect the tube to function normally again after too great a disorganization by sterilization procedures followed by traumatic restorative operations. It is therefore recommended that any sterilization should be carried out by a midtubal atraumatic Pomeroy method, tissue being conserved for possible future reconstruction, and that a proven microsurgical technique be utilized for the best results of reconstruction to be obtained. This paper briefly details the anatomy and physiology of the Fallopian tubes, evaluates a microsurgical tubal repair in the rabbit, reports a series of tubal repairs in women, and suggests a working protocol for future tubal surgery.
对于因故意或疾病过程而阻塞的输卵管重建，只有在对其解剖学和生理学有充分了解的基础上，才能采取合理的方法。因此，如果在绝育手术后进行创伤性修复手术，导致输卵管严重紊乱，却期望它能再次正常发挥功能，这是不符合逻辑的。因此，建议采用输卵管中部无创伤的波默罗伊绝育法，保留组织以备将来可能的重建，并且应采用经过验证的显微外科技术，以获得最佳的重建效果。本文简要详述了输卵管的解剖学和生理学，评估了兔的显微外科输卵管修复，报告了一系列女性输卵管修复病例，并提出了未来输卵管手术的工作方案。
