Tuboplasty is the microsurgical procedure to accomplish tubal reversal. Tuboplasty as microsurgical tubal reanastomosis, especially of the midsegment has high success rate. The vast majority of midsegment occlusion cases are due to previous tubal ligation of different types. Varieties of tubal ligations include segmental tubal excision, ring sterilization, clip sterilization and coagulation.
Microsurgical tubal reanastomosis when successfully performed has the triple success rate of IVF in terms of pregnancy. In terms of reaching the success of tuboplasty in these cases three IVF attempts would be needed. Certainly the tuboplasty would be more economical, convenient and less risky for these cases.
REFERENCES
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2) Boeckxtaens A, Devroey P, Collins J, Tournaye H. Getting pregnant after tubal sterilization: surgical reversal or IVF? Hum Reprod 2007;22: 2660-4.
3) Cheung AP. Assisted reproductive technology: both sides now. J reprod Med 2006; 51: 283-92.