Document Detail

Pelviscopic reversal of tubal sterilization with the one- to two-stitch technique.
MedLine Citation:
PMID:  11509773     Owner:  NLM     Status:  MEDLINE    
STUDY OBJECTIVE: To describe 28 pelviscopic proximal reversals of tubal sterilization. DESIGN: Cohort study (Canadian Task Force classification II-2). SETTING: University-affiliated hospital. PATIENTS: Twenty-eight women. INTERVENTIONS: Twenty-two women underwent bilateral and six unilateral tubal end-to-end anastomosis through a catheter introduced through the working channel of a hysteroscope for a combined hysteroscopic-laparoscopic operation. MEASUREMENTS AND MAIN RESULTS: In the two-stitch technique the first stitch adapted the mesosalpinx and the second (4-0 or 6-0 material) to unite the tube muscularis. In some cases a third stitch was applied to either the muscularis or mesosalpinx. In all cases the wound was sealed with tissue col at the end of the procedure. Tubal patency was achieved in 95% of bilateral anastomoses and 100% of unilateral ones. Seventeen pregnancies (61%) were achieved within a minimum of 6 months and a maximum of 4 years. Fifteen patients (54%) had an intrauterine pregnancy with normal delivery and two (7%) had a tubal pregnancy. No abortions occurred. CONCLUSION: Laparoscopic end-to-end anastomosis is a suitable surgical alternative to tubal end-to-end anastomosis by laparotomy and has all the advantages of a laparoscopic procedure.
L Mettler; M Ibrahim; E Lehmann-Willenbrock; A Schmutzler
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of the American Association of Gynecologic Laparoscopists     Volume:  8     ISSN:  1074-3804     ISO Abbreviation:  J Am Assoc Gynecol Laparosc     Publication Date:  2001 Aug 
Date Detail:
Created Date:  2001-08-17     Completed Date:  2001-10-25     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9417443     Medline TA:  J Am Assoc Gynecol Laparosc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  353-8     Citation Subset:  IM    
Department of Obstetrics and Gynecology, University of Kiel, Michaelisstrasse 16, 24105 Kiel, Germany.
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MeSH Terms
Anastomosis, Surgical
Cohort Studies
Fallopian Tubes / surgery*
Pregnancy, Ectopic
Sterilization Reversal / methods*
Sterilization, Tubal*
Suture Techniques

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