Abstract
ABSTRACT
The goal of this work is to describe and report the preliminary results obtained for laparoscopic tubal sterilization reversal. The technique is simple and atraumatic and requires only one stitch in the tube. After preparing the tube stumps and bringing the edges of the mesosalpinx together, laparoscopic anastomosis is achieved by one stitch placed at 12 o'clock on the antimesial edge of the tube. Between May 1994 and September 1995, we operated on 15 patients using this technique and carried out 27 tubal sterilization reversals, with 3 patients having a single tube or a contralateral tube that was too badly damaged for treatment. For the 14 patients who underwent postoperative hysterosalpingography during the first or second month after the operation, the rate of patency was 92.6% (25 of 27). The overall intrauterine pregnancy (IUP) rate was 46.7% (7 patients). The IUP rate for the 8 patients who were aged 38 years or under was 75% (6 patients). These encouraging results demonstrate that laparoscopic tubal sterilization reversal is feasible with a simplified technique that offers satisfactory fertility results for patients aged 38 years or under. Larger studies are necessary to confirm these preliminary results. (J GYNECOL SURG 12:177, 1996)
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