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Reversal of female sterilization using macro technique
C K Høgdall1, J Nielsen, B Ovlisen
1Department of Obstetrics and Gynaecology, Hillerød Central Hospital, Denmark.
Acta Obstetricia Et Gynecologica Scandinavica
|January 1, 1989
Summary
Macrosurgical reversal of sterilization offers a viable path to pregnancy, with cumulative probabilities reaching 51% by 66 months. Atraumatic surgical technique is key to successful outcomes, comparable to microsurgical methods.
Area of Science:
- Reproductive Medicine
- Surgical Innovation
- Gynecology
Background:
- Female sterilization is a common contraceptive method.
- Reversal of sterilization can restore fertility.
- Macrosurgical techniques offer an alternative to microsurgery.
Purpose of the Study:
- To report pregnancy rates following macrosurgical reversal of sterilization.
- To evaluate factors influencing pregnancy outcomes.
- To compare macrosurgical outcomes with microsurgical methods.
Main Methods:
- Life table estimates were used to calculate pregnancy rates.
- Data from 63 women undergoing macrosurgical reversal of sterilization were analyzed.
- Correlation between pregnancy outcome and surgical/procedural variables was assessed.
Main Results:
- Cumulative intra-uterine pregnancy probabilities at 6, 12, 24, 36, 48, and 66 months were 14%, 26%, 39%, 39%, 43%, and 51%, respectively.
- No significant correlation was found between pregnancy outcome and tube length, anastomotic site, sterilization technique, day of refertilization, or time since sterilization.
- Results were comparable to reported outcomes of microsurgical reversal.
Conclusions:
- Macrosurgical reversal of sterilization is an effective method for restoring fertility.
- Atraumatic surgical technique is crucial for successful outcomes, irrespective of microscope use.
- This study represents the largest reported series using macrosurgical reversal.