Abstract
An increasing number of women are requesting reversal of previous tubal sterilization. The potential for reversibility of the commonly performed sterilization procedures is discussed in connection with the emerging profile of the woman who is at risk of changing her mind. Prior to tubal reconstruction, an infertility screening process should be instituted. Details of this process are given. The current controversies about terminology, the role of splints and stents, the place of postoperative lavage, and the role of systemic or intraperitoneal anti-inflammatory agents are presented, together with the arguments for and against microsurgical procedures.
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Selected References
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- Cohen B. M. Preliminary experience with vascularised Fallopian tube transplants in the human female. Int J Fertil. 1976;21(3):147–152. [PubMed] [Google Scholar]
- Diamond E. Microsurgical reconstruction of the uterin tube in sterilized patients. Fertil Steril. 1977 Nov;28(11):1203–1210. doi: 10.1016/s0015-0282(16)42917-1. [DOI] [PubMed] [Google Scholar]
- Gomel V. Laparoscopy prior to reconstructive tubal surgery for infertility. J Reprod Med. 1977 May;18(5):251–253. [PubMed] [Google Scholar]
- Gomel V. Profile of women requesting reversal of sterilization. Fertil Steril. 1978 Jul;30(1):39–41. doi: 10.1016/s0015-0282(16)43392-3. [DOI] [PubMed] [Google Scholar]
- Gomel V. Reanastomosis of fallopian tubes. Fertil Steril. 1978 Oct;30(4):483–484. [PubMed] [Google Scholar]
- Gomel V. Salpingostomy by microsurgery. Fertil Steril. 1978 Apr;29(4):380–387. doi: 10.1016/s0015-0282(16)43210-3. [DOI] [PubMed] [Google Scholar]
- Grant A. Infertility surgery of the oviduct. Fertil Steril. 1971 Aug;22(8):496–503. [PubMed] [Google Scholar]
- Jones H. W., Rock J. A. On the reanastomosis of fallopian tubes after surgical sterilization. Fertil Steril. 1978 Jun;29(6):702–704. doi: 10.1016/s0015-0282(16)43350-9. [DOI] [PubMed] [Google Scholar]
- Khoo S. K., Mackay E. V. Reactions in rabbit Fallopian tube after plastic reconstruction. I. Gross pathology, tubal patency, and pregnancy. Fertil Steril. 1972 Mar;23(3):201–206. doi: 10.1016/s0015-0282(16)38827-6. [DOI] [PubMed] [Google Scholar]
- Luengo J., van Hall E. V. Prevention of peritoneal adhesions by the combined use of spongostan and 32% dextran 70: an experimental study in pigs. Fertil Steril. 1978 Apr;29(4):447–450. doi: 10.1016/s0015-0282(16)43223-1. [DOI] [PubMed] [Google Scholar]
- Pauerstein C. J. From Fallopius to fantasy. Fertil Steril. 1978 Aug;30(2):133–140. [PubMed] [Google Scholar]
- Polishuk W. Z., Bercovici B. Intraperitoneal low molecular dextran in tubal surgery. J Obstet Gynaecol Br Commonw. 1971 Aug;78(8):724–727. doi: 10.1111/j.1471-0528.1971.tb01636.x. [DOI] [PubMed] [Google Scholar]
- Rioux J. E. Late complications of female sterilization: a review of the literature and a proposal for further research. J Reprod Med. 1977 Dec;19(6):329–340. [PubMed] [Google Scholar]
- Rosenfeld D. L., Garcia C. R. Laparoscopy prior to tubal reanastomosis. J Reprod Med. 1976 Oct;17(4):247–248. [PubMed] [Google Scholar]
- Seitz H. M., Jr, Schenker J. G., Epstein S., García C. R. Postoperative intraperitoneal adhesions: a double-blind assessment of their prevention in the monkey. Fertil Steril. 1973 Dec;24(12):935–940. [PubMed] [Google Scholar]
- Steptoe P. C., Edwards R. G. Birth after the reimplantation of a human embryo. Lancet. 1978 Aug 12;2(8085):366–366. doi: 10.1016/s0140-6736(78)92957-4. [DOI] [PubMed] [Google Scholar]
- Swolin K. Electromicrosurgery and salpingostomy: long-term results. Am J Obstet Gynecol. 1975 Feb 1;121(3):418–419. doi: 10.1016/0002-9378(75)90024-1. [DOI] [PubMed] [Google Scholar]
- Taylor P. J., Cumming D. C. Hysteroscopy in 100 patients. Fertil Steril. 1979 Mar;31(3):301–304. doi: 10.1016/s0015-0282(16)43878-1. [DOI] [PubMed] [Google Scholar]
- Winston R. M. Microsurgical tubocornual anastomosis for reversal of sterilisation. Lancet. 1977 Feb 5;1(8006):284–285. doi: 10.1016/s0140-6736(77)91827-x. [DOI] [PubMed] [Google Scholar]
- Winston R. M. Why 103 women asked for reversal of sterilisation. Br Med J. 1977 Jul 30;2(6082):305–307. doi: 10.1136/bmj.2.6082.305. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Wood C., Downing B., McKenzie I., O'Brien B. M., Paterson P. Microvascular transplantation of the human fallopian tube. Fertil Steril. 1978 Jun;29(6):607–613. [PubMed] [Google Scholar]
