title: Loupe microsurgical tubal sterilization reversal. Experience at a community-level naval hospital.
abstract: OBJECTIVE
  To evaluate the success rates of loupe microsurgical tubal sterilization reversal procedures performed by a generalist obstetrician-gynecologist at a community-level naval hospital.
  
  
  METHODS
  Consecutive patients who underwent microsurgical tubal anastomosis under loupe magnification by the author during a 16-month period were subjected to a review for outcome in this case series report.
  
  
  RESULTS
  Twenty-three patients who underwent reversal of tubal ligation by the author were examined for outcome. By 29 months after the last case studied, the overall conception rate was 78.3% and intrauterine pregnancy rate 68.6%. The miscarriage and ectopic rates were 13.0% and 8.7%, respectively.
  
  
  CONCLUSIONS
  Loupe microsurgical tubal reversal by a properly trained generalist obstetrician-gynecologist at a community hospital rendered success rates comparable to those published in the literature.
authors.affiliation: Department of Obstetrics and Gynecology, Naval Hospital, Jacksonville, Florida, USA.
authors.forename: R J
authors.initials: RJ
authors.lastname: Fischer
mesh_terms: D000022:Abortion, Spontaneous / Q000453:epidemiology; D005186:Fallopian Tube Patency Tests; D005260:Female; D006764:Hospitals, Community; D006801:Humans; D008297:Male; D008866:Microsurgery; D008889:Military Personnel; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000453:epidemiology; D013076:Sperm Count; D013243:Sterilization Reversal / Q000379:methods*; D013246:Sterilization, Tubal