TUBAL REVERSAL PREGNANCY STUDY:
A DECADE OF OBSERVATION
Study Methodology: Prospective Cohort Study
This report is based on a prospective study of 9,935 women who had tubal reversal surgery from January 2001 through December 2011. Our practice is an outpatient facility exclusively for tubal ligation reversal. Each surgical procedure and each pregnancy was defined as a case.
Patients were asked to notify our office staff when a pregnancy occurred by completing an online pregnancy report. Staff nurses contacted all women reporting pregnancies at regular intervals to determine the outcome of each known pregnancy. The nurses entered the information into an electronic database for subsequent analysis.
Tubal Reversal Procedures
The tubal reversal procedures were performed using outpatient mini-laparotomy surgical and anesthetic techniques that minimize tissue injury, blood loss, anesthesia time, postoperative pain, and recovery time.
The tubal reversal operations included the following types of surgery, depending on the requirements of each patient.
- Tubal Anastomosis
- Tubouterine Implantation
Pregnancy Numbers and Percentages
The present report is based on a total of 9,935 cases that included surgeries from 2001 through 2011 and their subsequent pregnancies reported to our practice. The operative techniques of microsurgical tubal anastomosis, tubouterine implantation, and salpingostomy were used as appropriate to each patient’s situation. In some cases, more than one technique was needed in order to repair both fallopian tubes. Including all women’s ages, methods of tubal ligation, and operative techniques used for tubal reversal, the overall percentage of pregnancy (pregnancy ratio) was 67% based on 6,656 pregnancies discovered during the study interval.
Subsequent pages in this report show the pregnancy numbers and percentages by age, types of tubal ligation, and tubal lengths after tubal reparative surgery.
These statistics will help women understand their chances of conceiving after tubal ligation reversal based on their age and method of tubal ligation. These statistics apply only to women who have tubal ligation reversal surgery at our practice and not to other doctors or medical centers.
The complete Tubal Reversal Pregnancy Study: A Decade of Observation can be viewed by using the following links: