caa a22 4500 445308540 CHVBK 20180317142621.0 cr unu---uuuuu 170323e20110501xx s 000 0 eng 10.1007/s00404-011-1858-1 doi (NATIONALLICENCE)springer-10.1007/s00404-011-1858-1 Tubal anastomosis after tubal sterilization: a review [Elektronische Daten] [Xavier Deffieux, Michèle Morin Surroca, Erika Faivre, Frédérique Pages, Hervé Fernandez, Amélie Gervaise] Purpose: To evaluate various techniques for restoring tubal patency after sterilisation. Methods: A search strategy was designed, and for each subject either thesaurus terms (MeSH descriptors) or terms from the title or summary were used. Results: Mean length of hospital stay following laparoscopy seems to be shorter in comparison with laparotomy (3.3 vs. 6.1days, P<0.05). Rate of conversion to laparotomy is 5%. Pregnancy rates observed are between 54 and 88% for laparotomy and 31-85% for laparoscopy. Mean time to conception was between 2 and 9.6months. Most pregnancies occurred in the 2years following restoration of tubal patency (cumulative conception rate 80% at 12months). Young age (<35years), type of ligature (rings), how recently the ligature was done (<8years), the anastomosis site (in the middle of the tube) and a good length of remaining tube (>7cm) are the factors that govern whether there can be good restoration of tubal patency. Ectopic pregnancy rates observed are between 1.7 and 12% for laparotomy and 0-7% for laparoscopy. There are no randomised or quasi-randomised studies comparing tubal anastomosis and in vitro fertilization. Conclusions: There are few good-quality controlled studies in this area. Results of restoration of tubal patency seem to be comparable, regardless of the route of approach (laparotomy or laparoscopy). Springer-Verlag, 2011 Tubotubal anastomosis nationallicence Tuboplasty nationallicence Salpingostomy nationallicence Salpingolysis nationallicence Tubal implantation into uterus nationallicence Microsurgical tuboplasty nationallicence Tubal anastomosis nationallicence Systematic review nationallicence Deffieux Xavier Faculté de Médecine, Université Paris-Sud, Le Kremlin Bicêtre, F-94274, Paris, France aut Morin Surroca Michèle Service évaluation des actes professionnels, Professional Procedures Evaluation Department, Haute Autorité de la Santé, Paris, France aut Faivre Erika AP-HP, Service De Gynécologie-Obstétrique et Médecine de la Reproduction, Obstetrics and Gynaecology and Reproductive Medicine Department, Hôpital Antoine Béclère, 157 rue de la Porte de Trivaux, F-92140, Clamart, France aut Pages Frédérique Service évaluation des actes professionnels, Professional Procedures Evaluation Department, Haute Autorité de la Santé, Paris, France aut Fernandez Hervé Faculté de Médecine, Université Paris-Sud, Le Kremlin Bicêtre, F-94274, Paris, France aut Gervaise Amélie AP-HP, Service de Gynécologie-Obstétrique, CHU Bicêtre, Hôpital Antoine Béclère, Le Kremlin Bicêtre, F-94275, Paris, France aut Archives of Gynecology and Obstetrics Springer-Verlag 283/5(2011-05-01), 1149-1158 0932-0067 283:5<1149 2011 283 404 https://doi.org/10.1007/s00404-011-1858-1 text/html Onlinezugriff via DOI 1 review-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00404-011-1858-1 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Deffieux Xavier Faculté de Médecine, Université Paris-Sud, Le Kremlin Bicêtre, F-94274, Paris, France aut NATIONALLICENCE 700 1- Morin Surroca Michèle Service évaluation des actes professionnels, Professional Procedures Evaluation Department, Haute Autorité de la Santé, Paris, France aut NATIONALLICENCE 700 1- Faivre Erika AP-HP, Service De Gynécologie-Obstétrique et Médecine de la Reproduction, Obstetrics and Gynaecology and Reproductive Medicine Department, Hôpital Antoine Béclère, 157 rue de la Porte de Trivaux, F-92140, Clamart, France aut NATIONALLICENCE 700 1- Pages Frédérique Service évaluation des actes professionnels, Professional Procedures Evaluation Department, Haute Autorité de la Santé, Paris, France aut NATIONALLICENCE 700 1- Fernandez Hervé Faculté de Médecine, Université Paris-Sud, Le Kremlin Bicêtre, F-94274, Paris, France aut NATIONALLICENCE 700 1- Gervaise Amélie AP-HP, Service de Gynécologie-Obstétrique, CHU Bicêtre, Hôpital Antoine Béclère, Le Kremlin Bicêtre, F-94275, Paris, France aut NATIONALLICENCE 773 0- Archives of Gynecology and Obstetrics Springer-Verlag 283/5(2011-05-01), 1149-1158 0932-0067 283:5<1149 2011 283 404 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer