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- W53702013 abstract "146 patients were referred to the University of Calgary Infertility Clinic for reversal of a previous tubal sterilization. Of these 55 (37.7%) withdrew voluntarily after the initial discussions, 6 were discouraged from having laparoscopies. The remaining 85 underwent combined laparoscopy and hysteroscopy, and were broken into 2 groups: group A (50) had inadequate referral documents without pathology reports, group B (35) had detailed operative reports. Laparoscopic findings suggested 42% of group A to be inoperable. Irrespective of the group, 29% of all women who had had a Pomeroy type sterilization were deemed irreparable. None of the fimbriectomy and only 17% of the coagulation procedures (of both groups) were suitable for reversal. It was found that sterilization by Falope Ring or tubal clips was amenable to reversal. If the total length of tube left at the end of surgery was less than 4 cm the pregnancy rate will be less than if it is greater than 4 cm. Bilateral fimbriectomy is considered an absolute contraindication to reversal. The gynecologist should include laparoscopy in the preoperative assessment in all but ring or clip sterilized women or bilateral fimbriectomy and follow this with a counseling period in order to avoid futile surgery." @default.
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- W53702013 date "1982-05-01" @default.
- W53702013 modified "2023-09-23" @default.
- W53702013 title "Reversal of female sterilization: how reliable is the previous operative report?" @default.
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