Norris S, Axelrod C, Sobel M, et al. - Researchers reviewed tuboplasty techniques for reducing fallopian tube blockage. In a 28-year-old G0 female patient with primary infertility and bilateral fallopian tube occlusion wanting to avoid in vitro fertilization, they demonstrated tuboplasty and its component techniques of fimbrioplasty, salpingo-ovariolysis, and salpingostomy in a stepwise fashion. In fimbrioplasty, the agglutinated or phimosed fimbrial end is identified and is gently opened with fine forceps and blunt microdissection. Salpingo-ovariolysis involves: 1) surveying the anatomy; 2) applying traction to describe the adhesions; and 3) transecting the adhesions with microsurgical scissors or electrosurgery. Finally, a salpingostomy was demonstrated that involve the following steps: 1) identification of the length of the fallopian tube; 2) performing chromotubation to delineate tubal obstruction; 3) creating a salpingostomy at the terminal end; and 4) suturing open the salpingostomy site circumferentially to evert the edges. Bilateral assessment of the fallopian tubes in this case revealed mild tubal disease and therefore these were appropriate for tuboplasty. Researchers suggest that for patients who want to avoid in vitro fertilization and who have mild tubal disease, tubal reconstructive surgery remains an important management option.