- Port placement
- Establish pneumoperitoneum with Veress needle or open Hasson technique
- Insert a 10 mm umbilical camera port
- Add two 5 mm working ports (typically one in the contralateral lower quadrant, one suprapubic)
- Inspection
- Inspect the uterus, tubes, ovaries, pelvis, and bowel
- Identify and confirm pathology in the targeted tube
- Mobilisation and division
- Elevate the fallopian tube with atraumatic grasper
- Start dissection at the fimbrial end, proceeding along the mesosalpinx
- Coagulate and divide mesosalpinx with bipolar cautery or energy device, proceeding toward the uterine cornu
- Take care to preserve the ovarian blood supply, which comes via the mesovarium
- Divide the tube at the tubal–uterine junction, or just distal to the cornu if uterus is to be preserved