The reversibility of female sterilization with the use of microsurgery: a report on 102 patients with more than one year of follow-up

American Journal of Obstetrics and Gynecology
S R Henderson

Abstract

A prospective study of 102 patients who underwent a reversal of sterilization between January, 1977, and February, 1982 revealed a pregnancy rate of 68% after more than 1 year of follow-up. The term delivery, abortion, and ectopic pregnancy rates were 52%, 11%, and 5%, respectively. The most reversible procedure was placement of the Falope ring (83% term delivery), and the least reversible was fimbriectomy (29%). The use of the microscope in performing tubal operation was associated with term delivery rates (60%) higher than those when no microscope was used (44%); this was particularly significant after tubal cautery (50% versus 25%). A total remaining tube length of 6 cm or more after previous sterilization resulted in a much better (74%) term delivery rate after microsurgical procedures than that in patients with shorter tubes (44%). The most successful site for tubal anastomosis was isthmus-isthmus and cornu-isthmus, with 81% and 67% term delivery rates, respectively.

References


❮ Previous
Next ❯

Citations

Apr 28, 2000·Fertility and Sterility·C Westhoff, A Davis
Dec 9, 1997·Fertility and Sterility·J D KimC H Rhyeu
Dec 9, 1997·Fertility and Sterility·S H KimY S Chang
Apr 18, 2002·The Journal of the American Association of Gynecologic Laparoscopists·Josiah HawkinsTogas Tulandi
May 22, 2003·Best Practice & Research. Clinical Obstetrics & Gynaecology·G David Adamson, Valerie L Baker
Mar 5, 1991·Journal of Gynecologic Surgery·J M PutmanD L Olive
May 7, 2004·Current Opinion in Obstetrics & Gynecology·Pinar H KodamanEmre Seli
Jan 17, 1987·British Medical Journal·J P Calvert
Nov 14, 2002·The European Journal of Contraception & Reproductive Health Care : the Official Journal of the European Society of Contraception·M Turan CetinO Kadayifçi
Mar 15, 2011·Contraception·Grace ShihWillie J Parker
Oct 30, 2015·Reproductive Biomedicine Online·Victor Gomel
Jan 1, 1997·AORN Journal·A S Haspel-Siegel
Apr 1, 1996·American Journal of Obstetrics and Gynecology·A S Penzias, A H DeCherney
Oct 17, 2003·Endocrinology and Metabolism Clinics of North America·David S Guzick, John T Queenan
Nov 1, 1986·The Australian & New Zealand Journal of Obstetrics & Gynaecology·R P Jansen
Mar 2, 2013·The Cochrane Database of Systematic Reviews·Korula GeorgePrathap Tharyan
Oct 15, 2014·Clinical Obstetrics and Gynecology·Grace ShihAngela Chen
Dec 1, 1990·Asia-Oceania Journal of Obstetrics and Gynaecology·I GuptaU Mahajan
Mar 1, 1992·Asia-Oceania Journal of Obstetrics and Gynaecology·B C BaiY W Whang
Nov 25, 2000·Obstetrics and Gynecology Clinics of North America·S Pati, V Cullins

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

American Journal of Obstetrics and Gynecology
M M SpivakD M Rosenthal
Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology
P N NwagbaraA M Tonks
British Medical Journal
K Wellings
Gynecologic and Obstetric Investigation
J A Land
© 2021 Meta ULC. All rights reserved