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Fertil Steril. 1980 Jun;33(6):587-97.

Microsurgical reversal of female sterilization: a reappraisal.

Abstract

The role of microsurgery in reversal of sterilization has been reassessed and 118 cases reviewed. The technical variations for tubo-tubal anastomosis necessitated by the condition of the oviducts have been outlined in detail. All 118 cases were included in the analysis without requirement for a minimal postoperative trial period. Seventy-six of these (64.4%) had achieved one or more intrauterine pregnancies. There was one ectopic gestation. Forty-seven patients, reported earlier, were resurveyed. These patients had a minimal postoperative trial period of 18 months. Thirty-eight (80.8%) had achieved one or more term pregnancies or were in the latter half of a normally progressing pregnancy. The mean time interval between the reconstructive surgery and the occurrence of pregnancy was 10.2 months. The longest time interval was 40 months. An inverse relationship was noted between the total length of the reconstructed oviducts and the occurrence of pregnancy.

PIP:

The role of microsurgery in reversal of sterilization has been reassessed and 118 cases over a 10-year period reviewed. Their ages ranged between 22 and 43 years of age and the interval between sterilization and request for reversal varied from 1 week to 16 years. The technical variations for tubo-tubal anastomosis necessitated by the condition of the oviducts have been outlined in detail. All 118 cases were included in the analysis without requirement for a minimal postoperative trial period. The 2 most prominent reasons for reversal request were a change in marital status (63%) and crib death (17%). 76 of these 118 cases achieved 1 or more intrauterine pregnancies. There was 1 ectopic gestation. No significant complications were reported. 47 patients, reported earlier, were resurveyed. They had had a minimal postoperative trial period of 18 months. The mean interval between reconstruction of tubes and subsequent pregnancy was 10.2 months. The longest interval was 40 months. 38 (80.8%) had achieved 1 or more term pregnancies or were in the latter 1/2 of a normally progressing pregnancy. An inverse relationship was noted between the total length of the reconstructed oviducts and the occurrence of pregnancy. With oviducts that were longer than 6 cm, most of the pregnancies occurred within 5 cycles following the reconstructive surgery. For those patients who conceived during the 1st postoperative cycle, their oviducts measured 5 cm or longer.

PMID:
7380045
[PubMed - indexed for MEDLINE]
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