By Joseph Hazan, M.D., FACOG
Tuboplasty is the microsurgical
procedure to
accomplish tubal reversal.
Tuboplasty as microsurgical
tubal reanastomosis,
especially of the midsegment has
high success rate.
The vast majority of midsegment
occlusion cases
are due to previous tubal ligation
of different types.
Varieties of tubal ligations include s
egmental tubal
excision,ring sterilization,
clip sterilization and coagulation.
Microsurgical tubal reanastomosis
when successfully performed
has the triple success rate of IVF in
terms of pregnancy.
In terms of reaching the success of
tuboplasty in these cases
three IVF attempts would be needed.
Certainly the tuboplasty
would be more economical,
convenient and less risky for these
cases.
REFERENCES
1) Gordts Sylvie, Campo R, Puttemans P,
Gordts Stephan
Clinical factors determining
pregnancy outcome after
microsurgical tubal reanastomosis.
Fertility and Sterility Vol.92,
No.4, October 2009:
( pages 1198-1202)
2) Boeckxtaens A, Devroey P, Collins J,
Tournaye H.
Getting pregnant after tubal sterilization:
surgical reversal
or IVF? Hum Reprod 2007;22: 2660-4.
3) Cheung AP.
Assisted reproductive technology:
both sides now.
J reprod Med 2006; 51: 283-92.
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