Suture Management Technique for
Tubotubo Anastomosis
of the Fallopian Tube
William A.C. Greene Jr., MD, FACOG
Medical Director, Lakeshore Surgical Center
Gainesville, GA
Zoltan Szabo, PhD, FICS
Director, The Moet Institute
San Francisco, CA
The modified suspension technique for reanastomosis of the fallopian tube enables safer and more accurate placement of sutures at the anastomotic site. For all of the primary sutures, this technique enables careful inspection of the tissue layers prior to final approximation of the two tubal segments, thereby significantly reducing the possibilities of technical errors, such as posterior wall inclusion. This approach does not require the use of approximating clamps, and is an organized, well-staged approach.