title: A new selection criterion for fimbriectomy reversal.
abstract: OBJECTIVE
  To assess a new criterion for selection of patients who request reversal of fimbriectomy sterilization.
  
  
  METHODS
  Prospective study.
  
  
  METHODS
  Division of reproductive endocrinology and infertility in an academic center.
  
  
  METHODS
  Eight patients undergoing reversal of fimbriectomy using microsurgical techniques. The prerequisite inclusion criterion was the presence of more than 50% ampulla as shown at hysterosalpingography. This is easily determined, because the isthmic length approximates one half the ampullary length.
  
  
  RESULTS
  The cumulative intrauterine pregnancy rate was 50%. There were no ectopic pregnancies.
  
  
  CONCLUSIONS
  Similar pregnancy rates for reversal of fimbriectomy have been reported based upon different absolute selection criteria (viz., tubal length of > or = 8 cm and ampullary width of > or = 1 cm). By contrast, our new selection criterion is based upon the more readily determined proportion of ampulla that is available for surgical neostomy.
authors.affiliation: Department of Obstetrics and Gynaecology, University of British Columbia, Vancouver, Canada.
authors.forename: A A
authors.initials: AA
authors.lastname: Rouzi
authors.forename: P F
authors.initials: PF
authors.lastname: McComb
mesh_terms: D005260:Female; D006801:Humans; D007047:Hysterosalpingography; D018579:Patient Selection; D011446:Prospective Studies; D013243:Sterilization Reversal; D013246:Sterilization, Tubal