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Gynecology and minimally invasive therapy
2024 Apr-Jun;13 (2): 71-78.

Where Microsurgical Tubal Reanastomosis Stands in the Fertilization Era.

Hwa Sook Moon, Bo Sun Joo, Sang Gap Kim, Kyung Il Nam, Ja Seong Koo
Author Information
  1. Hwa Sook Moon: Department of Obstetrics and Gynecology, Center for Minimally Invasive Surgery and Treatment, Good Moonhwa Hospital, Busan, Korea.
  2. Bo Sun Joo: Reproduction Aging Center, The Korea Institute for Public Sperm Bank, Busan, Korea.
  3. Sang Gap Kim: Department of Obstetrics and Gynecology, Center for Minimally Invasive Surgery and Treatment, Good Moonhwa Hospital, Busan, Korea.
  4. Kyung Il Nam: Department of Obstetrics and Gynecology, Center for Minimally Invasive Surgery and Treatment, Good Moonhwa Hospital, Busan, Korea.
  5. Ja Seong Koo: Department of Obstetrics and Gynecology, Center for Minimally Invasive Surgery and Treatment, Good Moonhwa Hospital, Busan, Korea.
PMID: 38911303 DOI: 10.4103/gmit.gmit_43_23

Abstract

Among various options of contraception, bilateral tubal ligation (BTL) remains the most frequently used method for women worldwide even at present. However, up to 30% of those who undergo BTL eventually change their minds and wish to conceive again for a variety of reasons, such as a change in marital status or simply wanting more children. In this case, we can either approach it surgically with tubal re-anastomosis (TA) or by fertilization (IVF)-embryo transfer. Despite the many advantages of TA which lead the American Society of Reproductive Medicine Committee Opinion to recommend it as the primary choice of treatment in posttubal ligation infertility in 2012, IVF is widely being chosen as the first-line treatment nowadays. This study will review the efficacy of TA in various aspects, including pregnancy rate, cost-effectiveness, feasibility, and accessibility, based on review of the literature and our experience. Through this study, we intend to provide a basis for gynecologists to consider TA as the first option in women who wish to conceive again after BTL in this day and age of IVF.

Keywords

Bilateral tubal ligation effectiveness in vitro fertilization tubal re-anastomosis

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Journal Article Review

Word Cloud

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