A Clinical Study on Microscopic Tubal Reanastomosis

Chong Il Kim, Hyang Mee Kim

Copyright ⓒ 1993. Ewha Womans University School of Medicine. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published Online: Jul 24, 2015

Abstract

From Feb. 1989 to July 1993, 84 cases of microsurgical tubal reanastomosis were performed at the Department of Obstetrics and Gynecology, Ewha Womans University Hospital. And 49 cases of tubal reanastomosis were fo11owed-up more than 6 months after operation.

The charateristics of 84 reanastomosis and the results of 49 reanastomosis which have been fol1owed up more than 6 months are as follows :

1) At the time of reanastomosis, mean age of the patients was 32.5 years and average interval between sterilization and reanastomosis was 6.0 years. The mean postoperative tubal lengthwas 5.5cm.

2) The site of the reanastomosis in majority is isthmic to isthmic portion(85.7%) and cornus to isthmic(8.3%).

3) After more than 6 months of postoperative fo11ow-up, it revealed a pregnancy rate of 63.2% (31/49). And by the sterilization type, the pregnancy rate is 68.7% (11/16) in ring group, 63.3% (19/30) in cautery group.

4) The outcome of the 31 pregnancies after reanastomosis were 26 cases of full term delivery, 2 ongoing pregnancy, 2 abortion and 1 tubal pregnancy.