From March, 1986 to August, 1995, 67 patients who underwent a microsurgical reversal of the fallopin tubes which were followed-up for more than 6 months in the Department of Obstetrics and Gynecology, National Medical Center were reviewed in
order
to
determine the pregnancy rate and to evaluate the influencing factors.
@ES The results were as follows:
@EN 1. The mean age of the patients was 31.7 years and the mean age at sterilization and reversal was 5.57 years, the mean living children at tubal reversal was 1.3.
2. The reasons for requesting tubal reversal were desire for more children(42.2%), death of children(37.7%), and change in marital state(20.0%).
3. The kinds of previous tubal sterilization was performed, were laparoscopic cautery (53%), laparoscopic ring(28.9%), pomeroy method(15.6%), and minilap(2.2%).
4. The most common site of the anastomosis was isthemic-ampular portion(62.2%), the site of the highest pregnancy rate was cornual-isthmic portion(100%).
5. The postoperative tubal length was 6.6 cm the average interval between tubal reversal and pregnancy was 3.9 months.
6. No statistical difference were found in pregnancy rate according to the method of previous sterilization.
7. The pregnancy rate according to the tubal length 3 or less, 3~4.9, 5~6.9, 7~8.9, 9 or more were 0%, 42.8%, 76.4%, 78.6%, 100% respectively.
8. The overall pregnancy rate after tubal reversal was 71.1%, and the outcome of
@ES the pregnancy was as follows ;
@EN term pregnancy 62.3%, preterm-delivery 2.2%, spontaneous abortion 4.4%, ectopic pregnancy 2.2%.
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