Novel method of tuboplasty using a thread stent: possibility to increase the success rate

Background: Women who have undergone tubectomy for sterilization seek reversal of sterilization for various reasons. The success rate of the traditional method used for recanalization has been compared to our novel method of using a stent. Objective: The aim of this article is to evaluate the succes...

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Main Authors: Anuradha Palnitkar, Devdatt Palnitkar
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2021-01-01
Series:MGM Journal of Medical Sciences
Subjects:
Online Access:http://www.mgmjms.com/article.asp?issn=2347-7946;year=2021;volume=8;issue=3;spage=232;epage=235;aulast=Palnitkar
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author Anuradha Palnitkar
Devdatt Palnitkar
author_facet Anuradha Palnitkar
Devdatt Palnitkar
author_sort Anuradha Palnitkar
collection DOAJ
description Background: Women who have undergone tubectomy for sterilization seek reversal of sterilization for various reasons. The success rate of the traditional method used for recanalization has been compared to our novel method of using a stent. Objective: The aim of this article is to evaluate the success rate of a novel method of tuboplasty using a threaded stent. Materials and Methods: Twenty-one tuboplasty surgeries for reversal of sterilization done at our center were reviewed. All the patients underwent open abdominal tuboplasty using 4× Loupes for magnification. 6-0 Prolene (Johnson & Johnson) suture was used for tubotubal anastomosis with seromuscular sutures. In 11 patients operated on after the year 2010, a 1-0 Ethilon (Johnson & Johnson) thread was used as a “stent.” Before the year 2010, we used to do the anastomosis similarly but without a stent. Eight such patients operated upon before 2010 without stent were evaluated. Two patients operated upon after 2010, in whom the stent could not be placed satisfactorily, were also included in this group of unstented patients. Results: Of the 11 patients who could be stented successfully, 8 (72.7%) conceived a uterine pregnancy. Two patients (18.2%) from the stented group did not conceive. From the group of patients who were not stented or could not be stented (n = 10), only two (20%) conceived. Conclusion: Our novel method of tuboplasty using a thread stent can improve the pregnancy rate to 72.7%.
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spelling doaj.art-be1d1030ac0b478ba4a3171bc540f5d92022-12-21T20:02:39ZengWolters Kluwer Medknow PublicationsMGM Journal of Medical Sciences2347-79462347-79622021-01-018323223510.4103/mgmj.mgmj_27_21Novel method of tuboplasty using a thread stent: possibility to increase the success rateAnuradha PalnitkarDevdatt PalnitkarBackground: Women who have undergone tubectomy for sterilization seek reversal of sterilization for various reasons. The success rate of the traditional method used for recanalization has been compared to our novel method of using a stent. Objective: The aim of this article is to evaluate the success rate of a novel method of tuboplasty using a threaded stent. Materials and Methods: Twenty-one tuboplasty surgeries for reversal of sterilization done at our center were reviewed. All the patients underwent open abdominal tuboplasty using 4× Loupes for magnification. 6-0 Prolene (Johnson & Johnson) suture was used for tubotubal anastomosis with seromuscular sutures. In 11 patients operated on after the year 2010, a 1-0 Ethilon (Johnson & Johnson) thread was used as a “stent.” Before the year 2010, we used to do the anastomosis similarly but without a stent. Eight such patients operated upon before 2010 without stent were evaluated. Two patients operated upon after 2010, in whom the stent could not be placed satisfactorily, were also included in this group of unstented patients. Results: Of the 11 patients who could be stented successfully, 8 (72.7%) conceived a uterine pregnancy. Two patients (18.2%) from the stented group did not conceive. From the group of patients who were not stented or could not be stented (n = 10), only two (20%) conceived. Conclusion: Our novel method of tuboplasty using a thread stent can improve the pregnancy rate to 72.7%.http://www.mgmjms.com/article.asp?issn=2347-7946;year=2021;volume=8;issue=3;spage=232;epage=235;aulast=Palnitkarnovel method of open tuboplastyreversal of sterilizationtuboplasty
spellingShingle Anuradha Palnitkar
Devdatt Palnitkar
Novel method of tuboplasty using a thread stent: possibility to increase the success rate
MGM Journal of Medical Sciences
novel method of open tuboplasty
reversal of sterilization
tuboplasty
title Novel method of tuboplasty using a thread stent: possibility to increase the success rate
title_full Novel method of tuboplasty using a thread stent: possibility to increase the success rate
title_fullStr Novel method of tuboplasty using a thread stent: possibility to increase the success rate
title_full_unstemmed Novel method of tuboplasty using a thread stent: possibility to increase the success rate
title_short Novel method of tuboplasty using a thread stent: possibility to increase the success rate
title_sort novel method of tuboplasty using a thread stent possibility to increase the success rate
topic novel method of open tuboplasty
reversal of sterilization
tuboplasty
url http://www.mgmjms.com/article.asp?issn=2347-7946;year=2021;volume=8;issue=3;spage=232;epage=235;aulast=Palnitkar
work_keys_str_mv AT anuradhapalnitkar novelmethodoftuboplastyusingathreadstentpossibilitytoincreasethesuccessrate
AT devdattpalnitkar novelmethodoftuboplastyusingathreadstentpossibilitytoincreasethesuccessrate