Patients who have undergone previous tubal sterilization are candidates for either
tubal reconstructive surgery or IVF. The most ideal candidates for tubal reconnection
are women in whom investigations reveal that the subsequent total tubal length following
reconnection will be greater 4 cm., and cases where the tubes have been divided
relatively close to the uterus.
The statistical chance of ideal candidates for microsurgical tubal reconnection
subsequently becoming pregnant within two years is in the range of 60-75 percent
with a subsequent ectopic pregnancy incidence of about 10 percent.
|