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  • Title: Microsurgery in infertility.
    Author: Gomel V.
    Journal: Int J Fertil; 1978; 23(4):244-5. PubMed ID: 33908.
    Abstract:
    Interest in gynecologic microsurgery has increased greatly. Microsurgery in gynecology does not apply to reversal of sterilization solely but rather applies to all fertility operations. Microsurgery will yield the greatest rate of success in reversal of sterilization, since 1 is dealing essentially with healthy segments of fallopian tube. The precision afforded by microsurgery in such cases limits trauma to the minimum and results in a very high postoperative patency rate. This, along with essentially healthy although shortened tubes, leads to a high pregnancy rate. The postoperative rate in microsurgically treated patients is twice that in women operated upon with conventional techniques. Of 47 cases of reversal of sterilization reported last year, 30 patients had had 1 or more intrauterine pregnancies (63.8%). The pregnancy rate of these patients is expected to rise with longer follow-up. These results cannot be universally applied to sterilized women, for in many instances the remaining tubal segments are excessively damaged or too short for reconstruction.
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