TUBAL REVERSAL PREGNANCY STUDY:
A DECADE OF OBSERVATION
Study Patient Population
This report is based on 9,935 cases of tubal reversal surgery and subsequent pregnancies from January 1, 2000 through December 31, 2011 at our practice, the only medical facility exclusively for tubal ligation reversal.
Women’s Ages
The women ranged in age from 20 to 51 (Figure 2). The average age was 34. The majority of women in the tubal reversal study were in their 30s.
Figure 2. Age Distribution
Tubal Ligation Methods
The type of tubal ligation procedure is one factor related to the outcome after tubal reversal surgery. The most common tubal sterilization method involved tying, cutting, and removing a segment of the fallopian tube (tubal ligation and resection). The second most common method was tubal coagulation (burning the tubes) followed in frequency by tubal occlusion with tubal rings or clips. Other procedures, including fimbriectomy (removing the end of the fallopian tube) and hysteroscopic methods (Essure or Adiana) were the least common. In cases where the patient’s operative report of the tubal ligation was not available and the method could not be determined at the time of the tubal reversal, the sterilization method was classified as unknown.
Table 2. Tubal Ligation Method
| Method | Number | Percent |
| Rings | 1416 | 14% |
| Clips | 850 | 9% |
| Ligation/resection | 3971 | 40% |
| Coagulation | 2849 | 29% |
| Other/unknown | 849 | 8% |
| Total | 9935 | 100% |
The complete Tubal Reversal Pregnancy Study: A Decade of Observation can be viewed by using the following links:
