Document Detail

Tubal resection and anastomosis I. Sterilization-reversal.
MedLine Citation:
PMID:  3469998     Owner:  NLM     Status:  MEDLINE    
Seventy-seven women (median age 30 years, range 21 to 43) underwent microsurgical tubal resections and anastomoses for sterilization-reversal. All patients had a laparoscopy between 8 and 21 days postoperatively to allow early diagnosis and treatment of adherences that had formed between tube and ovary or between adnexa and uterus or bowel. Follow-up ranged from 1 to 21 months and outcome was assessed with life-table methods. The cumulative probability of pregnancy was 63% at 6 months from surgery, 80% at 12 months and 87% at 18 months. Empirically, average fecundability, or monthly probability of pregnancy, was 13.6%; of 70 women followed-up and not on contraception, 59 (84.3%) have in fact conceived. The data indicate that: tube-length, at least above 4 cm, has no discernible effect on Fallopian tube function when fimbrial access to the ovary is not compromised; elapsed time between sterilization and reversal is irrelevant to subsequent likelihood of pregnancy; deleterious effects of endometriosis on fertility can be overcome surgically, provided precautions are taken to prevent adnexal adhesions forming; and reversals of bilateral partial salpingectomies are less likely to be followed by pregnancy than are other methods of tubal interruption.
R P Jansen
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Australian & New Zealand journal of obstetrics & gynaecology     Volume:  26     ISSN:  0004-8666     ISO Abbreviation:  Aust N Z J Obstet Gynaecol     Publication Date:  1986 Nov 
Date Detail:
Created Date:  1987-04-23     Completed Date:  1987-04-23     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0001027     Medline TA:  Aust N Z J Obstet Gynaecol     Country:  AUSTRALIA    
Other Details:
Languages:  eng     Pagination:  294-9     Citation Subset:  IM    
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MeSH Terms
Endometriosis / surgery
Fallopian Tube Diseases / complications
Sterilization Reversal*
Tissue Adhesions / complications

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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