Reversal surgeries in patients with female sterilization: A retrospective analysis of diverse approaches over a 10-year period

Vijayan Chandrathil Parameswaran Nair, Bessy Binu Sam, R Beenakumary

Astrocyte 2016 3(2):82-85

Objectives: To analyze the results of diverse surgical approaches performed for reversal of female sterilization and to understand the possible impact of primary host factors which may contribute to a successful outcome. Method: A retrospective analysis was performed on all patients who submitted themselves for a surgical reversal of female sterilization in a tertiary care teaching hospital over a 10-year period from 2002 to 2012. Setting: Department of Obstetrics and Gynecology, Government Medical College Hospital Kottayam, Kerala, South India. Results: A total of 69 surgical procedures were carried out for reversal of female sterilization. Of them, following surgery, 29 (42%) had intrauterine pregnancies. Of these, 3 (4%) aborted, 9 (13%) suffered an ectopic pregnancy, while the "successful take home baby rate" was 37%. A total of 31 women were lost to follow up. Conclusions: Reversal surgeries have a fair rate of success in women who have had sterilization, though the success rate varies with the surgical approach, the age of the woman, and the technique adopted during the course of female sterilization. It may be best if female sterilization procedures were to be restricted to the isthmus with minimal damage to the fallopian tubes.

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