Title: Successful Pregnancy after Tubal Recanalization
Authors: Dr Simple Agrawal, Dr Bharti Saxena
DOI: https://dx.doi.org/10.18535/jmscr/v5i4.186
Abstract
Tubal sterilization is a widely used permanent contraceptive method for women who had completed their desired childbearing. It accounts for approximately 10% to 40% of contraceptive methods throughout the world (1,2). The method of tubal sterilization varies according to the expertise available from fimbriectomy to classical Pomeroy's to laparoscopic sterilization.[3] More than 45.5% women undergoing sterilization are between 20 and 25 years of age. Although it is done as a permanent method of sterilization, due to unforeseen circumstances, 1%–3% of these women subsequently demand reversal of sterilization.[4]. This procedure successfully unblocks one or both tubes in up to 90% of patients. Intrauterine pregnancy after successful recanalization occurs in 30-50%, with most pregnancies occurring in the first three to six months after the procedure .Here we are presenting a case of successful term pregnancy following recanalization.
References
1. Oligbo N, Revicky V, Udeh R. Pomeroy technique or Filshie clips for postpartum-terilisation? Retrospective study on comparison between Pomeroy procedure andFilshie clips for a tubal occlusion at the time of Caesarean section. Arch Gynecol Obstet 2010; 281: 1073-1075.
2. Ryder RM, Vaughan MC. Laparoscopic tubal sterilization. Methods, effectiveness, and sequelae. Obstet Gynecol Clin North Am 1999; 26: 83-97
3. Henry A, Rinehart W, Piotrow PT. Reversing female sterilization. Popul Rep C. 1980;8:C97–123. [PubMed]
4. Grunert GM, Drake TS, Takaki NK. Microsurgical reanastomosis of the fallopian tubes for reversal of sterilisation. Obstet Gynaecol. 1981;58:148–51. [PubMed]
5. Ribeiro SC, Tormena RA, Giribela CG, Izzo CR, Santos NC, Pinotti JA. Laparoscopic tubal anastomosis. Int J Gynaecol Obstet. 2004;84:142–6. [PubMed]
6. Jain M, Jain P, Garg R, et al. Microsurgical tubal recanalization: a hope for hopeless. Indian J Plast Surg. 2003;36:66–70.