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Microsurgical tubal recanalization: A hope for the hopeless
Jain M, Jain P, Garg R, Triapthi FM
Abstract
Objective:
To analyse the various factors affecting pregnancy rate after microsurgical tubal recanalisation. Design: Prospective study, follow-up of 5 years in patients treated with tubal microsurgery.
Setting:
Referral Tertiary Care Hospital.
Patients:
Fifty women underwent microsurgical tubal recanalisation procedure. Principles of microsurgery were followed throughout the procedure meticulously.
Interventions:
Microsurgical tubal recanalisation.
Main outcome measure:
Pregnancy rate.
Results:
With microsurgery, an overall 60% pregnancy rate was achieved. In these patients, pregnancy outcome was in form of intrauterine pregnancy (96.66%), ectopic pregnancy (3.33%), term viable pregnancy (96.55%) and spontaneous abortion (3.45%).
Conclusions:
The important factors for determining the success of operation were age of the patient, time interval between sterilization and reversal, site of ligation, method used for previous ligation & the remaining length of the tube after recanalisation. The microsurgical technique should be available at specialized centres to improve the success of family planning services.
Keywords
Microsurgery, Tubal Recanalisation, Pregnancy Rate.
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