From Feb. 1989 to July 1993, 84 cases of microsurgical tubal reanastomosis were performed at the Department of Obstetrics and Gynecology, Ewha Woman University Hospital, And 49 eases of tubal reanastomosis were followed-up more than 6 months
after
operation.
The charateristics of 84 reanastomosis and the results of 49 reanastomosis which have been followd 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 length was 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 follow-up, it revealed a pregnancy rate of 63.2% (31/49). And by the sterilization type, the preegnancy 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.
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