SEARCH WITHIN CONTENT
VOLUME 12 , ISSUE 4 ( July-August, 2020 ) > List of Articles
Laxmi S Sangolli, Aruna Biradar, Sangamesh S Mathapathi, Some Gowda, Neelamma G Patil, BS Gamini
Citation Information : Sangolli LS, Biradar A, Mathapathi SS, Gowda S, Patil NG, Gamini B. Determinants in Outcome of Tubal Recanalization: A Prospective Cohort Study. J South Asian Feder Obs Gynae 2020; 12 (4):239-242.
License: CC BY-NC 4.0
Published Online: 28-09-2020
Copyright Statement: Copyright © 2020; The Author(s).
Introduction: Tubal sterilization is the most prevalent family planning method practiced in our country. According to National Family Health Survey (NFHS 4) (2015–2016), a total of 51.8% of married women use any method of family planning, of which female sterilization accounts for majority with 48.6%, use of intrauterine device (IUD) by just 0.8% of women, pills by 0.4% of women, and condom by 1.3% women.1 More than 45.5% women undergoing sterilization belong to young reproductive-age group of 20–25 years.2 The gold standard for recanalization has been microsurgical tubal recanalization through laparotomy. Laparoscopy can be used as an alternative route but requires high expertise.3 Although an option of in vitro fertilization is widely available, due to economic constraints people go for microsurgical tubal recanalization as a first option.2 Material and methods: The study involves all women coming to the Department of Obstetrics and Gynecology, Bangalore Medical Collage and Research Institute, Bengaluru, for reversal of sterilization between August 2010 and September 2012. Results: A total of 40 prospective cases were studied and followed up for at least 1 year of which intrauterine pregnancy was noted in 21 (52.5%) cases, 1 (4.7%) patient had ectopic pregnancy, and 2 (9.5%) had abortions. Conclusion: The study concluded that factors favoring successful tubal recanalization are age of the patient less than 30 years, interval between sterilization and its reversal less than 4 years, site of anastomosis being isthmo-isthmic, remaining tubal length being more than 6 cm, and when type of previous sterilization was by laparoscopic method.