[Microsurgical reversal of sterilization: experiences and results in 119 cases].

Abstract:

:From January 1976 to March 1982 119 microsurgical reversals were performed. Most of these women were not older than 30 years at the time of sterilization. A new partnership was the main reason for a request of reversal. Up to now 69 patients (58,0%) achieved an intrauterine pregnancy. Ectopic pregnancies occurred in 3 women (2,5%). The prognosis of a reversal depends mainly on the remaining length of the fallopian tube and the site of the anastomosis. For isthmo-isthmic anastomoses the intrauterine pregnancy rate was 80%. Due to today's high divorce rates tubal sterilization in women younger than 30 years should be based on a well founded indication. In younger patients only such sterilization techniques should be performed, which offer the highest chances for reversal. :Between January 1976-March 1982, 119 microsurgical reversals were performed. Most of these women were not older than 30 years at the time of sterilization. A new partnership was the main reason for the request of reversal. Currently, 69 patients (58%) have achieved an intrauterine pregnancy. Ectopic pregnancies have occurred in 3 women (2.5%). The prognosis of a reversal depends mainly on the remaining length of the fallopian tube and the site of the anastomosis. For isthmo-isthmic anastomoses, the intrauterine pregnancy rate was 80%. Due to a high divorce rate prevalent today, tubal sterilization in women younger than 30 years should be based on serious indications. In younger patients, only such sterilization techniques should be used which offer the highest chances for reversal. (author's modified)

authors

Schlösser HW,Frantzen C,Mansour N,Verhoeven HC

doi

10.1055/s-2008-1037090

subject

Has Abstract

pub_date

1983-04-01 00:00:00

pages

213-6

issue

4

eissn

0016-5751

issn

1438-8804

journal_volume

43

pub_type

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