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  • Title: The reversal of female sterilization by microsurgery: experiences with first 50 cases.
    Author: Limpaphayom K.
    Journal: J Med Assoc Thai; 1985 May; 68(5):237-42. PubMed ID: 4031717.
    Abstract:
    Follow up data are presented of 50 cases of female sterilization reversal by microsurgery. These cases were drawn from a series of 152 women requesting reversal. 102 of these women were not accepted because of the following contraindications: age over 37 years, lack of ovualtion, general health impairment, infertile partner, tubal disease, and insufficient tubal length. The mean age of the 50 subjects was 28.84 years; the mean number of pregnancies was 1.98 and the mean number of living children was 1.56. The duration of infertility ranged from 7-132 months, with a mean of 57.98 months. 60% of these women had remarried since sterilization. The microsurgery included end-to-end reanastomosis or uterotubal reimplantation. Isthmic-isthmic reanastomosis was easiest, as was reversal of sterilization by either Pomeroy's technique or Falope ring. Of the original 50 cases, there were 6 dropouts. A total of 39 cases (31 with tubal reanastomosis and 8 with uterotubal implantation) were available for follow-up 6 months after microsurgery. Full-term intrauterine pregnancy was achieved by 22 (71%) women in the end-to-end group and 4 (50%) women in the implantation group during the follow-up period (6 months-3 1/2 years). The selection criteria used in this series are believed to be responsible for the high rate of success. Other contributory factors included microsurgical techniques and operator skill. No association was observed between reversal success and duration of sterilization.
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