Conventional Laparoscopy Is the Better Option for Tubal Sterilization Reversal: A Closer Look at Tubal Reanastomosis.

Conventional Laparoscopy Is the Better Option for Tubal Sterilization Reversal: A Closer Look at Tubal Reanastomosis.
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常规的腹腔镜检查是输卵管灭菌逆转的更好选择:仔细观察输卵管再生。

DOI:
10.1089/whr.2021.0039
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发表时间:
2021
期刊:
Women's health reports (New Rochelle, N.Y.)
影响因子:
--
通讯作者:
DeCherney A
DeCherney A
中科院分区:
其他
文献类型:
--
作者:
Madison A;Alamri L;Schwartz A;Brolinson M;DeCherney A

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背景:永久绝育是美国和世界各地最常见的生育控制方法之一。一小部分女性会后悔自己的决定,希望将来生育。对于这些女性,选择包括体外受精(IVF)或手术逆转。手术逆转,特别是通过输卵管再吻合,是需要考虑的重要选择。手术逆转可以通过三种不同的一般方法完成,包括剖腹手术、传统腹腔镜检查和机器人辅助方法。不幸的是,手术逆转正在成为一门失传的艺术。目的:比较手术方式与体外受精的妊娠成功率、异位妊娠率及费用。方法:通过Pubmed检索文献,检索关键词如下。结论:腹腔镜输卵管再吻合术是40岁以下女性的最佳方法,其妊娠结局与其他方法相当,成本效益好,微创手术安全性好。
Background: Permanent sterilization is one of the most common methods of birth control in the United States and around the world. A small subset of women will regret their decision and desire future fertility. For these women, the options include in vitro fertilization (IVF) or surgical reversal. Surgical reversal, specifically via tubal reanastamosis, is an important choice to consider. Surgical reversal can be accomplished via three different general approaches including laparotomy, conventional laparoscopy, and robot-assisted approaches. Unfortunately, surgical reversal is becoming a lost art. Objective: To compare and contrast pregnancy success rates, ectopic pregnancy rates, and cost between the surgical methods and IVF. Methods: We conducted a literature review via Pubmed with keywords as listed below. Conclusion: Laparoscopic tubal reanastomosis is the best approach for women <40 years of age due to pregnancy outcomes that are comparable to other methods, cost effectiveness, and favorable safety profile of minimally invasive surgery.
DOI: 10.1016/s1074-3804(05)60329-5
发表时间: 2001-08-01
期刊: JOURNAL OF THE AMERICAN ASSOCIATION OF GYNECOLOGIC LAPAROSCOPISTS
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