Tubal lesions subsequent to sterilization and their relation to fertility after attempts at reversal.

Abstract:

:Tubal biopsy specimens were obtained at the time of tubal anastomosis in 26 previously sterilized women. Scanning electron microscopy showed that half the patients had abnormalities of tubal mucosa, including loss of mucosal folds, deciliation, and polyposis. These pathologic conditions, the morphologic features of which we describe, significantly increase in incidence the longer the time after sterilization. Our evidence suggests that the sooner reversal is performed after sterilization the greater the change of a successful intrauterine pregnancy. :26 sterilized patients were investigated at the time of reversal operation to assess the morphologic features of the mucosa of the fallopian tubes after sterilization. These morphologic findings were compared with those of tubal specimens taken from women undergoing hysterectomy for other indications. Sterilization technique was either catgut ligature, electrocoagulation, or Falope ring. Under scanning electron microscopy, one-half of the sterilized tubes had abnormalities of tubal mucosa which included loss of mucosal folds, deciliation, and polyposis. These conditions become more severe with time; hence, reversal deciliation, and polyposis. These conditions become more severe with time; hence, reversal procedures have greater chance of success when performed closer to time of sterilization.

journal_name

Am J Obstet Gynecol

authors

Vasquez G,Winston RM,Boeckx W,Brosens I

doi

10.1016/0002-9378(80)90015-0

subject

Has Abstract

pub_date

1980-09-01 00:00:00

pages

86-92

issue

1

eissn

0002-9378

issn

1097-6868

pii

0002-9378(80)90015-0

journal_volume

138

pub_type

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