Update on hysteroscopic sterilisation

Murthy, Poornima; Edwards, Jade; Pathak, Mamta

doi:10.1111/tog.12390

Cited by 6 publications

(2 citation statements)

References 38 publications

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“…With the FDA approval to use nickel titanium (nitol) occlusion material in the tubal ostium in hysteroscopy, the application of hysteroscopic sterilization is becoming more popular. 6 Globally, it is estimated that about 15% of women who had tubal sterilization regret their choice due to various reasons, for example, change of marital status, loss of the child, or change of attitude. 3 Accordingly, any possible way to restore the fertility status in females who underwent tubal sterilization is an important issue.…”

Section: Discussionmentioning

confidence: 99%

Pregnancy Rate after Tubal Reanastomosis: A Case Presentation and Systematic Review

Zucha¹,

Lutfi²,

Silawani³

et al. 2022

International Journal of Infertility &Amp; Fetal Medicine

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laparotomy approach to identify the previously ligated fallopian tubes. Using a loupe, we performed resection on both proximal and distal ends of the dissected tubes. Interrupted sutures were done on the mesosalpinx, followed by four stitches on muscular layers at 6, 3, 9, and 12 o'clock positions. Tubal patency test was then performed to check the patency of both tubes. An irrigated methylene blue into both fimbriae tubae indicated the patency of both tubes. During the 12-month follow-up, our patient became pregnant and delivered spontaneously.Tubal reanastomosis is an alternative to in vitro fertilization (IVF) for patients who desire fertility after tubal sterilization. Some reports have also mentioned the superiority of tubal reanastomosis, in terms of feasibility and cost-effectiveness. It is an important technique in a low-resource setting. However, this method is rarely performed and less taught in the fellowship training. Pregnancy rate and the possibility of ectopic pregnancy are the main concerns.

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Section: Discussionmentioning

confidence: 99%

Pregnancy Rate after Tubal Reanastomosis: A Case Presentation and Systematic Review

Zucha¹,

Lutfi²,

Silawani³

et al. 2022

International Journal of Infertility &Amp; Fetal Medicine

View full text Add to dashboard Cite

show abstract

“…Clinicians will have to wait for future hysteroscopic alternatives to emerge to broaden the choice for women once more. This will be difficult in the light of the lawsuits attracted by Essure and the withdrawal of Adiana in 2012 due to its high failure rate and the manufacturer’s inability to keep up with legal costs over patent infringement litigation 2…”

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confidence: 99%