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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Format: | Article |
Language: | English |
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Mary Ann Liebert
2021-09-01
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Series: | Women's Health Reports |
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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. |
first_indexed | 2024-03-08T11:23:45Z |
format | Article |
id | doaj.art-775389da624b45a798eb9817f21a3a55 |
institution | Directory Open Access Journal |
issn | 2688-4844 |
language | English |
last_indexed | 2024-03-08T11:23:45Z |
publishDate | 2021-09-01 |
publisher | Mary Ann Liebert |
record_format | Article |
series | Women's Health Reports |
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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