RESUMO
Tubal sterilization procedures are being performed on young women in increasing numbers. For a variety of reasons a small but significant number of women are requesting reversal of the tubal interruption. This report presents a series of 20 consecutive patients on whom tuabl reanastomoses of previously noncoagulated, surgically ligated fallopian tubes were performed. An intraluminal tubal suture technique is described. Low magnification (X2 to X4) was used. The comparative results of the patients operated upon revealed a tubal pregnancy rate of 80%, a total pregnancy rate of 70%, a viable pregnancy rate of 55%, three abortions, and one ectopic pregnancy.
PIP: A series of patients who underwent surgical end-to-end reanastomosis of previously ligated fallopian tubes is presented. The technique was highlighted by use of intraluminal suture under relatively low magnification (times 2 or times 4). Pre-, post-, and operative data are presented tabularly for the 20 women represented in this series. 80% (16 of 20) had patent tubes, and 70% became pregnant (14 of 20); 15% of these aborted and 1 lost her pregnancy to ectopic complication. Therefore, 55% had viable pregnancies. The time interval from ligation to reanastomosis ranged from 5 months - 13 years. The time interval from reanastomosis to pregnancy ranged from 1-31 months (mean 8 months), and reasons for requesting reanastomosis ranged from improved economic status to remarriage.