Tubal anastomosis after tubal sterilization: a review

Deffieux, X.; Surroca, Michèle Morin; Faivre, E.; Pages, Frédérique; Fernandez, H.; Gervaise, A.

doi:10.1007/s00404-011-1858-1

Cited by 26 publications

(16 citation statements)

References 39 publications

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“…In literature it is indicated that sterilization / reversal interval is indirectly proportional to over all pregnancy rate, 11 same is observed in our data.…”

Section: Discussionsupporting

confidence: 91%

See 1 more Smart Citation

Tubal Sterilization Reversal: Is There Any Role in This Modern Era of Art?

Rizvi¹,

Jafri²,

Haider³

2016

Annals KEMU

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Objectives:To determine the clinical pregnancy rate and to evaluate the factors affecting pregnancy rate following tubal recanalization.Study Design:Descriptive case series.Sampling Technique:Consecutive sampling.Setting / Duration of Study:The study was conduc-ted at Lady Willingdon Hospital Lahore, from January 2010 to March 2014.Methodology:Fifty nine women were included who underwent tubal re-anastomosis at Lady Willingdon Hospital Lahore.Inclusion Criteria:Patients undergone tubal ligation, no other female cause of infertility, normal semen ana-lysis.Surgical Procedure:Patients underwent tubal re-anastomosis through laparotomy. 4-quadrant suture technique was used.Data Analysis:Data was collected and entered into SPSS version 20. Descriptive statistics were computed and differences between groups were assessed through Chi square test where it was required. P-value < 0.05 was taken as statistically significant.Results:Out of 59 patients we could follow only 55 patients for clinical pregnancy as rest of 4 were lost for follow-up. Pregnancy rate, intrauterine ongoing pregnancy, miscarriage and ectopic pregnancy were the main outcome measures. Over all pregnancy rate was 34.5% (19/55), intrauterine pregnancy rate was 84.2% (16/19), term viable pregnancy was 68.8% (11/16). Spontaneous abortions were 31.3% (5/16) and ectopic pregnancy rate was 15.8% (3/19).Conclusions:The important prognostic factors for the success of tubal recanalization are age of the patient, sterilization/reversal interval, site of sterilization, method used for sterilization and length of the tube after reanastomosis. The technique is feasible, simple and less time consuming with good intrauterine pregnancy rate. Key Words:Tubal reanastomosis, Tubal recanalization, Pregnancy rate, Tubal sterilization.

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“…In literature it is indicated that sterilization / reversal interval is indirectly proportional to over all pregnancy rate, 11 same is observed in our data.…”

Section: Discussionsupporting

confidence: 91%

“…Deffieux and coworkers, have shown that more than 7 cm tubal length after surgery is an indicator for improved conception rate. 11 In our data 50% of the women conceived where the post surgery tube was more than 6 cm and it was statistically significant.…”

Section: Discussionsupporting

confidence: 45%

Tubal Sterilization Reversal: Is There Any Role in This Modern Era of Art?

Rizvi¹,

Jafri²,

Haider³

2016

Annals KEMU

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“…Pregnancy rates after tubal ligation reversal range from 31% to 88%. 51 Several factors affect the pregnancy rate after sterilization reversal. 52 Age is a significant factor, with a higher pregnancy rate for women younger than 36 years.…”

Section: Sterilization Reversalmentioning

confidence: 99%

Sterilization

Moss

Isley

2015

Obstetrics and Gynecology Clinics of North America

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“…112,121 Ectopic pregnancies following tubal reanastomosis with the abdominal approach are quoted as high as 12%, while only 7% for the laparoscopic approach. 122 Robotic-assisted tubal reanastomosis has proven to be particularly effective with a 97% pregnancy rate within the first 2 years for patients younger than 35 years 115 with a mean time to conception of 5.5 months postsurgery. 123 Interestingly, ectopic pregnancy removal with immediate segmental resection and robotic tubal reanastomosis in the setting of one viable fallopian tube to salvage natural fertility opportunity has been reported with a cumulative pregnancy rate of 63% and no ectopic pregnancies over 24 months of follow-up.…”

Section: Tubal Reanastomosismentioning

confidence: 99%

Robotics and Reproductive Surgery

2017

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Robotic technology applied to laparoscopy augments the armamentarium of the reproductive specialist. Uterine leiomyomas, adenomyosis, endometriosis, adnexal masses, sterilization reversal, and fertility preservation techniques can all be addressed with a robotic surgery skill set. Additionally, new approaches with single site and natural orifice surgery will continue to maximize advanced opportunities for safe, effective, and cosmetically conscious (patient-centered) approaches to surgical care. Enhanced postoperative recovery pathways are fully adaptable to these robotic procedures and improve patient acceptability while controlling costs.

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Tubal anastomosis after tubal sterilization: a review

Abstract: There are few good-quality controlled studies in this area. Results of restoration of tubal patency seem to be comparable, regardless of the route of approach (laparotomy or laparoscopy).

Cited by 26 publications

References 39 publications

Tubal Sterilization Reversal: Is There Any Role in This Modern Era of Art?

Tubal Sterilization Reversal: Is There Any Role in This Modern Era of Art?

Sterilization

Robotics and Reproductive Surgery

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