Conventional Laparoscopy Is the Better Option for Tubal Sterilization Reversal: A Closer Look at Tubal Reanastomosis

Background: Permanent sterilization is one of the most common methods of birth control in the United States and around the world. A small subset of women will regret their decision and desire future fertility. For these women, the options include in vitro fertilization (IVF) or surgical reversal. Su...

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Main Authors: Anita Madison, Lamia Alamri, Adina Schwartz, Marja Brolinson, Alan DeCherney
Format: Article
Language:English
Published: Mary Ann Liebert 2021-09-01
Series:Women's Health Reports
Subjects:
Online Access:https://www.liebertpub.com/doi/full/10.1089/WHR.2021.0039
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author Anita Madison
Lamia Alamri
Adina Schwartz
Marja Brolinson
Alan DeCherney
author_facet Anita Madison
Lamia Alamri
Adina Schwartz
Marja Brolinson
Alan DeCherney
author_sort Anita Madison
collection DOAJ
description Background: Permanent sterilization is one of the most common methods of birth control in the United States and around the world. A small subset of women will regret their decision and desire future fertility. For these women, the options include in vitro fertilization (IVF) or surgical reversal. Surgical reversal, specifically via tubal reanastamosis, is an important choice to consider. Surgical reversal can be accomplished via three different general approaches including laparotomy, conventional laparoscopy, and robot-assisted approaches. Unfortunately, surgical reversal is becoming a lost art. Objective: To compare and contrast pregnancy success rates, ectopic pregnancy rates, and cost between the surgical methods and IVF. Methods: We conducted a literature review via Pubmed with keywords as listed below. Conclusion: Laparoscopic tubal reanastomosis is the best approach for women <40 years of age due to pregnancy outcomes that are comparable to other methods, cost effectiveness, and favorable safety profile of minimally invasive surgery.
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spelling doaj.art-775389da624b45a798eb9817f21a3a552024-01-26T05:43:59ZengMary Ann LiebertWomen's Health Reports2688-48442021-09-012137538010.1089/WHR.2021.0039Conventional Laparoscopy Is the Better Option for Tubal Sterilization Reversal: A Closer Look at Tubal ReanastomosisAnita MadisonLamia AlamriAdina SchwartzMarja BrolinsonAlan DeCherneyBackground: Permanent sterilization is one of the most common methods of birth control in the United States and around the world. A small subset of women will regret their decision and desire future fertility. For these women, the options include in vitro fertilization (IVF) or surgical reversal. Surgical reversal, specifically via tubal reanastamosis, is an important choice to consider. Surgical reversal can be accomplished via three different general approaches including laparotomy, conventional laparoscopy, and robot-assisted approaches. Unfortunately, surgical reversal is becoming a lost art. Objective: To compare and contrast pregnancy success rates, ectopic pregnancy rates, and cost between the surgical methods and IVF. Methods: We conducted a literature review via Pubmed with keywords as listed below. Conclusion: Laparoscopic tubal reanastomosis is the best approach for women <40 years of age due to pregnancy outcomes that are comparable to other methods, cost effectiveness, and favorable safety profile of minimally invasive surgery.https://www.liebertpub.com/doi/full/10.1089/WHR.2021.0039fimbriectomyIVFneosalpingostomypermanent sterilizationtubal ligation
spellingShingle Anita Madison
Lamia Alamri
Adina Schwartz
Marja Brolinson
Alan DeCherney
Conventional Laparoscopy Is the Better Option for Tubal Sterilization Reversal: A Closer Look at Tubal Reanastomosis
Women's Health Reports
fimbriectomy
IVF
neosalpingostomy
permanent sterilization
tubal ligation
title Conventional Laparoscopy Is the Better Option for Tubal Sterilization Reversal: A Closer Look at Tubal Reanastomosis
title_full Conventional Laparoscopy Is the Better Option for Tubal Sterilization Reversal: A Closer Look at Tubal Reanastomosis
title_fullStr Conventional Laparoscopy Is the Better Option for Tubal Sterilization Reversal: A Closer Look at Tubal Reanastomosis
title_full_unstemmed Conventional Laparoscopy Is the Better Option for Tubal Sterilization Reversal: A Closer Look at Tubal Reanastomosis
title_short Conventional Laparoscopy Is the Better Option for Tubal Sterilization Reversal: A Closer Look at Tubal Reanastomosis
title_sort conventional laparoscopy is the better option for tubal sterilization reversal a closer look at tubal reanastomosis
topic fimbriectomy
IVF
neosalpingostomy
permanent sterilization
tubal ligation
url https://www.liebertpub.com/doi/full/10.1089/WHR.2021.0039
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