title: Successful term pregnancies after tubal anastomosis utilizing contralateral tubal segments.
abstract: In performing reversal of tubal sterilization, the microsurgeon sometimes has to face difficult anatomical situations due to extensive tubal damage, particularly after laparoscopic unipolar cauterization. In a recent case report, a technique of utilization of contralateral fallopian tube segments in tubal reanastomosis has been described. An intrauterine pregnancy followed, which resulted in a spontaneous abortion at 8 weeks' gestation. We report here our experience in ten cases utilizing a similar technique. Three patients achieved a term pregnancy. One patient achieved three intrauterine pregnancies that ended in first-trimester abortions. It is felt by the authors that this technique should be kept in mind by the practicing microsurgeon for selected cases.
authors.affiliation: Department of Obstetrics and Gynecology, St. Vincent's Hospital, New York, New York.
authors.forename: S T
authors.initials: ST
authors.lastname: West
authors.forename: R
authors.initials: R
authors.lastname: Marana
mesh_terms: D000328:Adult; D000714:Anastomosis, Surgical; D005187:Fallopian Tubes / Q000601:surgery*; D005260:Female; D006801:Humans; D011247:Pregnancy; D013243:Sterilization Reversal / Q000379:methods*