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Tubal reversal

Epublication WebSurg.com, Mar 2014;14(03). URL: http://websurg.com/doi/lt03engordts003

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  • 2014-03-07
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In several countries, tubal sterilization is frequently used as a definitive form of anti-conception. However, 2 to 13% of women come to express regret and 1 to 3% will have a reversal. Regret is frequently due to change of partner, dead of infant or for psychological reasons. As for laparotomy and also laparoscopy, tubal reversal should always be performed using the principles of microsurgery and gentle tissue handling. Depending upon the place of tubal ligation, tubal anastomosis can be isthmo-isthmic, isthmo-ampullary, ampullo-ampullary, ampullo-cornual, and isthmo-cornual. Mean pregnancy rate after tubal reversal is reported to be between 60 and 85%. Additionally, in patients older than 39, an intrauterine pregnancy rate of 40 to 50% can be achieved.