Correlation of prognostic factors and outcome of Microsurgical Tubal Recanalisation

Abstract

Objective:1)To study the outcome of microsurgical tubal recanalisation. 2) To analyse the various factors affecting the pregnancy rate following microsurgical tubal recanalisation. Method: It is a retrospective clinical study conducted on 45 women who underwent microsurgical tubal recanalisation at Adichunchangiri institute of medical sciences from January 2006 to June 2013. Results: The overall pregnancy rate after microsurgical tubal anastomosis was 55.5% with 72% of live birth rate. Loss of only child was the main reason for requesting sterilisation reversal. Pregnancy rate was noted to be significantly more statistically in women aged 5cm and isthmo-isthmic type of anastomosis. Though the pregnancy rate was more 62.9% in women who underwent reversal after laparoscopic sterilisation when compared to Pomeroy’s method 44.4% there was no stastistical significance. Conclusion: Microsurgical reversal of tubal sterilisation is a good option for patients who want a child for various reasons after tubal sterilization and cannot afford IVF. Those with least amount of tubal destruction had better chances of pregnancy. Laparoscopic sterilisation should be preferred during sterilisation procedure, ligation should be done at isthmus and good length of tube preserved .