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Reversal of female sterilization: Review of 252 microsurgical salpingo‐salpingostomies
Author(s) -
Owen Earl
Publication year - 1984
Publication title -
medical journal of australia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.904
H-Index - 131
eISSN - 1326-5377
pISSN - 0025-729X
DOI - 10.5694/j.1326-5377.1984.tb113098.x
Subject(s) - sterilization (economics) , medicine , pregnancy , term pregnancy , female sterilization , fallopian tube , surgery , pregnancy rate , family planning , obstetrics , research methodology , gynecology , population , gestation , environmental health , biology , monetary economics , economics , foreign exchange market , genetics , foreign exchange
Over a 10‐year period from December 1972, the reversal of routine surgical sterilizations in 252 women resulted in a high rate of subsequent full‐term pregnancies. The ages of these women ranged from 22 to 40 years (average, 32.5 years), and the parity ranged from 0 to 4 (average, 2.1 children). A meticulous microsurgical approach was employed for all tubal reconstructive operations. Pregnancy usually occurred within 12 months of the reconstruction (75%), but, occasionally, it occurred within the first two months (8%). In the group of 68 women, in whom the previous sterilization procedure had affected only the isthmial section of the fallopian tube, a remarkable full‐term pregnancy rate of 93% was achieved. It is, therefore, recommended that all sterilization procedures in women should be performed in the mid‐isthmic portion of the tube, because reversals of sterilizations in this area have the best chance of success.