A Clinical Study Following Macrosurgical Procedures for Tubal REversal.

Park, Eun Chan; Lee, Sang Moon; Lee, In Soo; Lee, Kyung Weon; Jeong, Sang Yoon; Kim, Seong Han

Original Article

Korean Journal of Obstetrics & Gynecology 1997;40(3):633-638.
Published online January 1, 2001.

A Clinical Study Following Macrosurgical Procedures for Tubal REversal.

Eun Chan Park, Sang Moon Lee, In Soo Lee, Kyung Weon Lee, Sang Yoon Jeong, Seong Han Kim

Department of Obstetrics and Gynecology, Pohang St. Mary's Hospital, Pohang, Korea.

Abstract

From January 1989 to December 1994, 105 cases of Macrosugical tubal reversal were performed and 87 cases of them were followed up for more than 1 year postoperatively in the Department of Obstetrics and Gynecology, Pohang St. Mary's Hospital. The result were as follows;1. The mean age of the patients was 31.7 years and 93.1% of them had been sterilized by laparoscopic sterilization. 2. Average inteval between sterilization and tubal reversal was 43.3 months. 3. The reasons for requesting reversal of sterilization were remarrigae 41.5%, chagne of attitude 33.3%, loss of children 25.2%. 4. The distributions of the site of tubal anastomosis were isthmic-ampullar 58.6%, isthmic-isthmic 24.1%, cornual-isthmic 8.1%. 5. The postoperative tubal length was 5.0 cm or more in 78.0%. 6. The overall pregnancy rate after tubal reversal was 68.9% and the outcome of the pregnancy was as follows; term pregnancy 74.6%, premature delivery 1.8%, opontaneous abortion 10.9%, ectopic pregnancy 9.1%, pregnancy state 3.3%.

Key Words: Macrosurgical tubal reversal