[Reconstruction of fallopian tubes using microsurgical technics (author's transl)].

The results of reconstructive tubal surgery improved significantly since microsurgical technics were introduced. Nowadays microsurgery is the procedure of choice for salpingolysis, salpingostomy, reanastomosis reversal of sterilisation and conservative repair of an ectopic pregnancy. Successful reversals of sterilisation demonstrate the advantage of the microsurgical technics in the best way. Tubal sterilisation isn't irreversible any longer but it still should be recommended as a definitive method. Because of the high technical effort reversal of sterilisation can be done in exceptional cases only. In young women the possibility of a reversal must be considered and a sterilisation operation should be done in an adequate and careful way.