Needle salpingoneostomy: an atraumatic surgical technique to correct a terminal obstruction of the tubes.

In 50 cases operated on restorative tubal surgery was performed applying an atraumatic technique with a fine needle to create a new opening of the ostium. Resection of the terminal part of the tube was avoided and an extraversion of the ostium fibria was accomplished by careful manipulation. Neither electrocautery nor hydrotubation was used during the operation. Our results were the following: 1. Thirteen (13) cases with intrauterine pregnancy. Twenty-nine (29) cases with viable tubal patency. Four (4) cases which a new obstruction. Four (4) cases which have not returned for re-examination 1.