Indian Journal of Plastic Surgery
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Year : 2003  |  Volume : 36  |  Issue : 2  |  Page : 66--70

Microsurgical tubal recanalization: A hope for the hopeless

1 Department of Obstetrics & Gynaecology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India
2 Department of Plastic Surgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India

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P Jain
2-B Brij Enclave, Sunderpur, Varanasi - 221005
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Source of Support: None, Conflict of Interest: None

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Objective: To analyse the various factors affecting pregnancy rate after microsurgical tubal recanalisation. Design: Prospective study, follow-up of 5 years in patients treated with tubal microsurgery. Setting: Referral Tertiary Care Hospital. Patients: Fifty women underwent microsurgical tubal recanalisation procedure. Principles of microsurgery were followed throughout the procedure meticulously. Interventions: Microsurgical tubal recanalisation. Main outcome measure: Pregnancy rate. Results: With microsurgery, an overall 60% pregnancy rate was achieved. In these patients, pregnancy outcome was in form of intrauterine pregnancy (96.66%), ectopic pregnancy (3.33%), term viable pregnancy (96.55%) and spontaneous abortion (3.45%). Conclusions: The important factors for determining the success of operation were age of the patient, time interval between sterilization and reversal, site of ligation, method used for previous ligation & the remaining length of the tube after recanalisation. The microsurgical technique should be available at specialized centres to improve the success of family planning services.


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