Microsurgical reconstruction of the uterin tube in sterilized patients.

Increasing requests for reversal of sterilization prompt a re-evaluation of guidelines for sterilization and for methods of reconstruction. The method of nonmicroscopic (gross) reconstruction is examined, and its frequent failures are felt to be in consequence of surgically induced distortion and damage to physiologic function. Microsurgery minimizes these failings and results in a doubled pregnancy rate. Microsurgical procedures are described and illustrated, and criteria are given for selection of candidates.