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      In vitro fertilization versus reconstructive tubal surgery

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      Journal of Assisted Reproduction and Genetics
      Springer Science and Business Media LLC

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          Most cited references16

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          Microsurgical reversal of female sterilization: a reappraisal.

          V Gomel (1980)
          The role of microsurgery in reversal of sterilization has been reassessed and 118 cases reviewed. The technical variations for tubo-tubal anastomosis necessitated by the condition of the oviducts have been outlined in detail. All 118 cases were included in the analysis without requirement for a minimal postoperative trial period. Seventy-six of these (64.4%) had achieved one or more intrauterine pregnancies. There was one ectopic gestation. Forty-seven patients, reported earlier, were resurveyed. These patients had a minimal postoperative trial period of 18 months. Thirty-eight (80.8%) had achieved one or more term pregnancies or were in the latter half of a normally progressing pregnancy. The mean time interval between the reconstructive surgery and the occurrence of pregnancy was 10.2 months. The longest time interval was 40 months. An inverse relationship was noted between the total length of the reconstructed oviducts and the occurrence of pregnancy.
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            An assessment of the role of operative laparoscopy in tuboplasty.

            J Fayez (1983)
            Eighty-three patients had tuboplasty by means of operative laparoscopic techniques. The procedures performed included salpingolysis, whereby only peritubal adhesions were lysed; ovariolysis, whereby only periovarian adhesions were lysed; salpingoovariolysis, whereby peritubal and periovarian adhesions were lysed; fimbrioplasty, whereby the partially agglutinated fimbrial end was teased open; and salpingoneostomy, whereby the completely blocked fimbrial ends were opened. Patency rates were, respectively, 100%, 100%, 100%, 64%, and 31%; and pregnancy rates were, respectively, 67%, 72%, 50%, 35%, and 10%. The only complication encountered was minimal bleeding in the patients in whom salpingoneostomy was performed. These results suggest that operative laparoscopy may be the method of choice for tubal operations that involve any of the first three categories, whereas the last two categories should be used in open laparotomy techniques.
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              Falloposcopic observations of endotubal isthmic plugs as a cause of reversible obstruction and their histological characterization

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                Author and article information

                Journal
                Journal of Assisted Reproduction and Genetics
                J Assist Reprod Genet
                Springer Science and Business Media LLC
                1058-0468
                1573-7330
                August 1992
                August 1992
                : 9
                : 4
                : 306-309
                Article
                10.1007/BF01203949
                a6c6fb59-9398-4ab0-a8ea-ef7a4056fa3b
                © 1992

                http://www.springer.com/tdm

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