We have reviewed the pregnancy rate and outcome of 500 patients who underwent the reversal of previous laparoscopic tubal sterilization and tubal obstruction microsurgically at Department of Obstetrics and Gynecology, Keimyuing University,
between
Septmeber, 1983 and August, 1992.
@ES The results were as follows:
@EN The over-all pregnancy rate was 82.7% among 330 patients who followed up from 1 to 108 months postoperatively.
Regarding to the outcome of pregnancy, 208 were term delivery, 19 wee spontoneous abortion, 10 were artifical abortion, 17 were ectopic pregnancy and others are not delivered yet.
The reason for the reversal of laparoscopic tubal sterilization were the loss of children due to accidents or diseases(33%), remarrigae(35.2%), change of mind(20.6%) and others.
The mean age of pregnant women was 31.83 years old, the mean duration of infertility was 50.68 months.
The highest success rate was achieved who had underwent LTS with ring(89.1%)
The operation site and reconstructed tubal length did not influence the pregnancy rate and the interval from the operation to the conception. No statistical significance was found in the pregnancy rate according to the duration of sterilization.
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