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Cochrane Database Syst Rev. 2013 Feb 28;2:CD009174. doi: 10.1002/14651858.CD009174.pub2.

Minimally invasive versus open surgery for reversal of tubal sterilization.

Author information

  • 1Reproductive Medicine Unit, Bangalore Baptist Hospital, Bangalore, India. gkorula@gmail.com.

Abstract

BACKGROUND:

Although tubal sterilization procedures are considered to be permanent, requests for reversal of the procedure (re-canalisation) are not infrequent. The reversal procedure can be done either by an open laparotomy or by minimally invasive surgery (laparoscopic or robotic approach).

OBJECTIVES:

To compare the relative effectiveness and safety of reversal of tubal sterilization by open laparotomy, laparoscopy and robotically assisted endoscopy.

SEARCH METHODS:

On 23 October 2012 we searched the Cochrane Menstrual Disorders and Subfertility Review Group Specialised Register; the Cochrane Central Register of Controlled Trials (CENTRAL) in The Cochrane Library (Issue 10, 2012); MEDLINE; EMBASE; LILACS; clinical trials registries; regional databases; conference proceedings; and references for relevant published, unpublished and ongoing trials.

SELECTION CRITERIA:

Randomised trials comparing the different methods of surgical reversal of tubal sterilisation.

DATA COLLECTION AND ANALYSIS:

No trials that met the selection criteria were identified.

MAIN RESULTS:

No data for evaluation were obtained

AUTHORS' CONCLUSIONS:

Currently there is no evidence from randomised controlled trials to recommend or refute the use of a minimally invasive surgical approach (laparoscopic or robotic) or open surgery for reversal of tubal sterilization. There is a need for well conducted and reported randomised clinical trials to generate reliable evidence to inform clinical practice.

PMID:
23450598
[PubMed - indexed for MEDLINE]
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