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  • Title: [The value of microsurgical techniques in tubal surgery (author's transl)].
    Author: Schlösser HW, Frantzen C, Beck L.
    Journal: Geburtshilfe Frauenheilkd; 1979 Jul; 39(7):545-52. PubMed ID: 467945.
    Abstract:
    Tubal surgery by help of microsurgical techniques was performed in 86 women from January 1976 until December 1978. 70 patients suffered from tubal sterility due to pelvic inflammatory disease. 16 women asked for reversal of sterilization. As result of 83 operations 17 life births respectively undisturbed intrauterine pregnancies were achieved. Two patients had an abortion. Three more pregnancies could not be added to the success rate, because in these women we found only one blocked tube intraoperatively, while the contralateral one seemed to be intact. Up to now we haven't had an ectopic pregnancy. In 39 patients the operation was done within the last half year. The value of microsurgery in the field of tubal reconstructive surgery is discussed in regard to the literature and to our own experiences and operative results. Microsurgical techniques were used for tubal reconstruction for sterility due to pelvic infection in 70 patients and for reversal of tubal sterilization in 16 patients. Procedures included tubal reanastomosis following inflammation or ligation, and lysis of adhesions impairing mobility of the tubes and fimbria; many patients had more than 1 procedure. Pregnancies have been reported in 19 patients. Of these, 2 have ended in miscarriages, and 13 in live births; 4 other pregnancies are still in progress. Since 39 patients were treated within the past 6 months, it is expected that more pregnancies will be observed in the group.
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