Conventional Laparoscopy Is the Better Option for Tubal Sterilization Reversal: A Closer Look at Tubal Reanastomosis

A case-control study was carried out at a public teaching hospital in Recife, Pernambuco State, Brazil in 1997 to investigate risk factors among women who feel regret after undergoing sterilization through tubal ligation. The study compared sterilized women who had requested or undergone a tubal reversal with women who were also sterilized but had not undergone this surgery, nor had requested to do so. Women showing a significantly greater probability of regret were those sterilized at a young age, those who had not themselves made the decision to undergo surgery , those for whom the sterilization was carried out up to the 45th day after childbirth and those who had acquired knowledge about contraceptive methods after the tubal ligation procedure. Having had a deceased child, a partner with no children prior to the current union or a change of partner after the tubal sterilization procedure were also associated to the request for or submission to tubal sterilization reversal. It is necessary to assess women's psycho-socio-demographic profiles, their reasons for requesting tubal ligation and to advise the patient about family planning in order to reduce rates of post-sterilization regret.

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Pregnancy outcomes and prognostic factors from tubal sterilization reversal by sutureless laparoscopical re-anastomosis: a retrospective cohort study

Human Reproduction ◽

10.1093/humrep/deq326 ◽

2010 ◽

Vol 26 (2) ◽

pp. 354-359 ◽

Cited By ~ 15

Author(s):

Janneke J.B.F.G. Schepens ◽

Ben W.J. Mol ◽

Maarten A.H.M. Wiegerinck ◽

Saskia Houterman ◽

Carolien A.M. Koks

Keyword(s):

Cohort Study ◽

Prognostic Factors ◽

Retrospective Cohort Study ◽

Pregnancy Outcomes ◽

Retrospective Cohort ◽

Tubal Sterilization ◽

Sterilization Reversal

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TUBAL STERILIZATION REVERSAL: IS THERE ANY ROLE IN THIS MODERN ERA OF ART?

Annals of King Edward Medical University ◽

10.21649/akemu.v21i4.777 ◽

2016 ◽

Vol 21 (4) ◽

pp. 290

Author(s):

Sarwat Rizvi ◽

Anum Jafri ◽

Rubar Haider

Keyword(s):

Ectopic Pregnancy ◽

Pregnancy Rate ◽

Suture Technique ◽

Clinical Pregnancy ◽

P Value ◽

Tubal Sterilization ◽

Intrauterine Pregnancy ◽

Chi Square ◽

Factors Affecting ◽

Sterilization Reversal

AbstractObjectives: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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Comparison of Microlaparoscopy and Conventional Laparoscopy for Tubal Sterilization Under Local Anesthesia with Mild Sedation

The Journal of the American Association of Gynecologic Laparoscopists ◽

10.1016/s1074-3804(05)60335-0 ◽

2001 ◽

Vol 8 (3) ◽

pp. 385-388 ◽

Cited By ~ 11

Author(s):

M. Bulent Tiras ◽

Oznur Gokce ◽

Volkan Noyan ◽

Hulusi Bulent Zeyneloglu ◽

Haldun Guner ◽

...

Keyword(s):

Local Anesthesia ◽

Conventional Laparoscopy ◽

Tubal Sterilization

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A Simplified Procedure for Laparoscopic Tubal Sterilization Reversal: The One Tubal Stitch Technique

Journal of Gynecologic Surgery ◽

10.1089/gyn.1996.12.177 ◽

1996 ◽

Vol 12 (3) ◽

pp. 177-181 ◽

Cited By ~ 1

Author(s):

JEAN-BERNARD DUBUISSON ◽

CHARLES CHAPRON ◽

KURT SWOLIN

Keyword(s):

Tubal Sterilization ◽

The One ◽

Simplified Procedure ◽

Sterilization Reversal

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Live delivery outcome after tubal sterilization reversal: a population-based study

Fertility and Sterility ◽

10.1016/j.fertnstert.2015.06.042 ◽

2015 ◽

Vol 104 (4) ◽

pp. 921-926 ◽

Cited By ~ 8

Author(s):

Eva Malacova ◽

Anna Kemp-Casey ◽

Alexandra Bremner ◽

Roger Hart ◽

Louise Maree Stewart ◽

...

Keyword(s):

Population Based ◽

Tubal Sterilization ◽

Population Based Study ◽

Delivery Outcome ◽

Sterilization Reversal

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Pregnancy outcome of laparoscopic tubal reanastomosis: retrospective results from a single clinical centre

Journal of International Medical Research ◽

10.1177/0300060517709815 ◽

2017 ◽

Vol 45 (3) ◽

pp. 1245-1252 ◽

Cited By ~ 1

Author(s):

Rana Karayalcin ◽

Sarp Ozcan ◽

Aytekin Tokmak ◽

Beril Gürlek ◽

Okan Yenicesu ◽

...

Keyword(s):

Treatment Options ◽

Operation Time ◽

Careful Consideration ◽

Tubal Ligation ◽

Tubal Sterilization ◽

Intrauterine Pregnancy ◽

Clinical Centre ◽

The Mean ◽

Tubal Reanastomosis ◽

Mean Time

Objective Tubal sterilization is a widespread method of contraception. Post-sterilization regret is encountered, despite careful consideration prior to the procedure. Two treatment options are available for women after having had tubal sterilization: microsurgical reversal and IVF treatment. Recent improvements in laparoscopy have allowed tubal reanastomosis to be performed. This study aimed to evaluate the reproductive outcome after laparoscopic tubal reanastomosis and surgical features of the patients. Methods From June 2007 to January 2010, 27 patients with bilateral tubal ligation who underwent laparoscopic tubal reanastomosis were evaluated retrospectively. Tubal sterilization was performed by Pomeroy’s technique during caesarean section in all of the patients. Before surgery, all of the patients were evaluated for possible other causes of infertility and the results of the evaluation were normal. Results The mean age of the patients was 31.8 years (range, 27–38 years). The mean interval between sterilization and reversal was 5.1 years (range, 1–14 years). Bilateral reversal was achieved in 24 patients. The operation time ranged from 85 to 140 minutes with a mean time of 105 minutes. All of the patients were discharged on the next day. There were no postoperative complications. Overall pregnancy, intrauterine pregnancy, and ectopic pregnancy rates were 55.5% (15/27), 51.8% (14/27), and 3.7% (1/27), respectively. Of the 14 intrauterine pregnancies, one ended with abortion at 6 weeks’ gestation (1/14). The mean interval from surgery to pregnancy was 270 days (range, 147–420 days). Conclusion Laparoscopic tubal reanastomosis has the advantages of fewer complications, less postoperative discomfort, a smaller incisional scar, a shorter recovery time, and earlier resumption of normal activities. This technique has a satisfactory pregnancy rate in selected patients who desire reversal of tubal sterilization.

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Robotically assisted tubal sterilization reversal: Surgical technique and cost effectiveness versus conventional surgery

Fertility and Sterility ◽

10.1016/j.fertnstert.2004.07.034 ◽

2004 ◽

Vol 82 ◽

pp. S12 ◽

Cited By ~ 1

Author(s):

S.P. Dharia ◽

M.P. Steinkampf ◽

S.J. Whitten ◽

B.A. Malizia ◽

M.L. Kilgore

Keyword(s):

Cost Effectiveness ◽

Surgical Technique ◽

Tubal Sterilization ◽

Conventional Surgery ◽

Sterilization Reversal

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Comparison of Mini-Laparoscopic and Conventional Laparoscopic Surgery for Tubal Ligation

Gynecology Obstetrics and Reproductive Medicine ◽

10.21613/gorm.2018.794 ◽

2018 ◽

Vol 24 (3) ◽

pp. 139

Author(s):

Servet Gencdal ◽

Emre Ekmekci

Keyword(s):

Laparoscopic Surgery ◽

Hospital Stay ◽

Intraoperative Complications ◽

Length Of Hospital Stay ◽

Operation Time ◽

Tubal Ligation ◽

Conventional Laparoscopy ◽

Tubal Sterilization ◽

Conventional Laparoscopic ◽

Surgery Group

Objective: To compare the intraoperative characteristics and postoperative results of mini laparoscopic and conventional laparoscopic surgeries performed for surgical sterilization.Study Design: This retrospective study was conducted to compare the conventional and mini laparoscopic tubal ligation for surgical tubal sterilization. In total of 39 women, 22 in the conventional laparoscopy and 17 in the mini laparoscopic surgery group participated in the study. The main outcome measures were total operation time, amount of bleeding, intraoperative complications, skin scar formation with patient scale and observer scale and length of hospital stay. Results: Demographical findings did not differ between the two groups. Similarly, rates of intraoperative complications, conversion to laparotomy, length of hospital stay, pre and postoperative hematocrit levels were not significantly different between the groups. Both patient and observer POSAS scores were better in mini laparoscopic surgery group. Conclusion: Mini laparoscopic surgery seems a safe and feasible alternative to conventional laparoscopy for surgical tubal sterilization.

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