A Ramalingappa1. 1. Department of OBS. & GYN., Karnataka Institute of Medical Sciences, Hubli, Karnataka India.
Abstract
OBJECTIVES: To study the various factors affecting the success rate of tubal recanalization and the reasons for failure of the procedure. METHODS: A retrospective study was conducted during 2000-2007 @ KIMS, Hubli. RESULTS: Of the 25 subjects who underwent tubal recanalization, 44 % of women conceived and they were >35 years of age. Laparoscopically sterilized patients had better chances of conception (50 %) following reversal than those who were sterilized by Pomeroy's method (30 %). With post-reversal tubal length of >4 cm, pregnancy rate was 50 %. Isthumus-Isthumus and Isthumus-Ampullary anastomosis have 50 % success rates. CONCLUSION: Tubal recanalization by microsurgical technique is one of the methods to solve infertility after sterilization.
OBJECTIVES: To study the various factors affecting the success rate of tubal recanalization and the reasons for failure of the procedure. METHODS: A retrospective study was conducted during 2000-2007 @ KIMS, Hubli. RESULTS: Of the 25 subjects who underwent tubal recanalization, 44 % of women conceived and they were >35 years of age. Laparoscopically sterilized patients had better chances of conception (50 %) following reversal than those who were sterilized by Pomeroy's method (30 %). With post-reversal tubal length of >4 cm, pregnancy rate was 50 %. Isthumus-Isthumus and Isthumus-Ampullary anastomosis have 50 % success rates. CONCLUSION: Tubal recanalization by microsurgical technique is one of the methods to solve infertility after sterilization.