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Tubal ligation reversal

Somjet Srikanok, Daniel M Parker, Amber L Parker, Tracey Lee, Aung Myat Min, Pranee Ontuwong, Saw Oo Tan, Supachai Sirinonthachai, Rose McGready
Conflict settings and refugee camps can be chaotic places, with large and rapid population movements, exacerbated public health problems, and ad hoc health services. Reproductive health care that includes family planning is of heightened importance in such settings, however, funding and resources tend to be constrained and geared towards acute health services such as trauma management and infectious disease containment. Here we report on the complexities and challenges of providing family planning in a post-emergency refugee setting, using the example of the largest refugee camp on the Thai-Myanmar border, in existence now for over 30 years...
2017: PloS One
Manisha Chhetry, Basudeb Banerjee, Shanti Subedi, Narayan Bahadur Gharti Chhetri, Yogendra Gupta
Caesarean section in a severely kyphotic patient presents with unique challenges. We report a case of obstructed labor in case of a pregnant lady with severe kyphosis of spine that was managed by caesarean section. Lateral recumbent position with adequate assistance and paramedian or vertical skin incision was used and found to provide good exposure. Baby was delivered by lower segment uterine incision by reverse breech extraction. Postpartum hemorrhage was managed with uterotonics and bilateral uterine artery ligation...
2016: Case Reports in Obstetrics and Gynecology
Sowmya Koteshwar, Anjali Siddesh
INTRODUCTION: Tubectomy remains one of the most popular methods of permanent contraception in developing countries. But about 10% of them regret their decision and 1% want to restore their fertility. Out of many options open method of tubal recanalisation is one of the method of restoring fertility. AIM: Primary objective was to analyse whether open tubal recanalization is a feasible option for those planning to conceive after tubectomy. Secondary objective was to evaluate the pregnancy rate and analyse the various factors affecting pregnancy rate after tubal recanalization...
February 2016: Journal of Clinical and Diagnostic Research: JCDR
Gary S Berger, John M Thorp, Mark A Weaver
STUDY QUESTION: Is bilateral tubotubal anastomosis a successful treatment in an outpatient patient population? SUMMARY ANSWER: For women wanting children after tubal sterilization, bilateral tubotubal anastomosis is an effective outpatient treatment. WHAT IS KNOWN ALREADY: With the current emphasis in reproductive medicine on high technology procedures, the effectiveness of female surgical sterilization reversal is often overlooked. Previous clinical studies of tubal sterilization reversal have been mostly retrospective analyses of small patient populations...
May 2016: Human Reproduction
Victor Gomel
Assisted reproductive techniques yield high rates of success for women with tubal factor infertility. Because they are potentially effective for all categories of infertility, for two decades, clinical and basic research in infertility has been focused on IVF techniques and outcomes, rather than developing surgical techniques or training infertility subspecialists in tubal microsurgery. Nonetheless, in comparison with IVF, reconstructive tubal surgery is inexpensive and offers multiple opportunities to attempt conception...
December 2015: Reproductive Biomedicine Online
Eva Patil, Jeffrey T Jensen
PURPOSE OF REVIEW: Permanent methods are the most commonly used contraceptive options worldwide. Even with the increase in popularity and accessibility of long-acting reversible methods, there remains high demand for permanent options, especially among women in developing countries. RECENT FINDINGS: Traditional methods of permanent contraception, such as postpartum tubal ligation and interval surgical tubal occlusion or electrocautery by mini-laparotomy or laparoscopy are well tolerated and highly effective...
December 2015: Current Opinion in Obstetrics & Gynecology
Samira Tavakolian, Mahbobeh Ahmadi Doulabi, Alireza Akbarzade Baghban, Alireza Mortazavi, Maryam Ghorbani
INTRODUCTION: Copper IUD is a long term and reversible contraception which equals tubal ligation in terms of sterilization. One of the barriers to using this contraception method is the fear and the pain associated with its insertion. Eutectic mixture of local anesthetics (EMLA) 5% is a local anesthetic that contains 25 mg lidocaine and 25 mg of prilocaine per gram. Application of topical analgesic cream to the cervix for laser surgery, hysteroscopy and hysterosalpingography is known Aims: this study aimed to determine the effect of EMLA on IUD insertion pain...
2015: Global Journal of Health Science
Han-qing Tang, Ke-ming Li, Jian-yu Zheng, Xi-bin Dou, Xiao-hua Li, Yu-feng Zhao, Fang-yi Shu, Chun-rong Lian, Yuan-yuan Yang
OBJECTIVE: To observe the effect of Zhuang-medical thread moxibustion combined with needle-pricking on vascular oxidative stress injury in oxidative stress injury rats. METHODS: Eighty Wistar rats were randomly allocated to normal control, sham operation (sham), model, and combined treatment groups (n=20 in each group). The oxidative stress injury model was established by ligation of the left sciatic nerve to induce chronic constriction injury (CCI) pain stress stimulation...
February 2015: Zhen Ci Yan Jiu, Acupuncture Research
Fakhrolmolouk Yassaee
BACKGROUND: Reversal of tubal ligation is requested by some women for various reasons. The present study aims to determine the rate of pregnancy after tubal ligation reversal. CASE: In these case series, we reported fifteen women who requested tuboplasty after tubal ligation. In these cases reversal of tubal ligation was done in 15 women. Pregnancy occurred in 4 women (26.6%). Two term pregnancy and 2 abortions were determined. CONCLUSION: The success rate of pregnancy after macro surgical reversal of tubal ligation is good and can be considered before in vitro fertilization...
May 2014: Iranian Journal of Reproductive Medicine
H Fernandez, G Legendre, C Blein, L Lamarsalle, P Panel
OBJECTIVE: To compare the rates of pregnancy among women who underwent Essure hysteroscopic sterilization versus tubal ligation in France between 2006 and 2010. STUDY DESIGN: Retrospective cohort study. SETTING: Hospital care in France (nationwide). Anonymised database of all hospital discharge summaries in France. PATIENTS: Recruitment was based on procedure codes in the national database of hospital discharge summaries...
September 2014: European Journal of Obstetrics, Gynecology, and Reproductive Biology
Jayne C Lucke, Danielle L Herbert
OBJECTIVES: To examine factors associated with the uptake of i) long-acting reversible, ii) permanent and iii) traditional contraceptive methods among Australian women. METHODS: Participants in the Australian Longitudinal Study on Women's Health born in 1973-78 reported on their contraceptive use at three surveys: 2003, 2006 and 2009. The participants were 5,849 women aged 25-30 in 2003 randomly sampled from Medicare. The main outcome measure was current contraceptive method at age 28-33 years categorised as long-acting reversible methods (implant, IUD, injection), permanent (tubal ligation, vasectomy), and traditional methods (oral contraceptive pills, condoms, withdrawal, safe period)...
April 2014: Australian and New Zealand Journal of Public Health
Elham Yousefian, Marefat Ghaffari Novin, Fateme Fadaei Fathabadi, Reza Mastery Farahani, Emadeddin Yazdani Kachouei
Women with tubal ectopic pregnancies have high levels of circulating interleukin 6 (IL-6). IL-6 treatment in vitro significantly reduces the ciliary activity of tubal epithelium. The effects of IL-6 on target cells occur via the formation of a high-affinity complex with its receptors IL-6Rα and glycoprotein 130 (Gp130). IL-6Rα is specifically expressed in the cilia of the epithelial cells. In this study, we performed a quantitative reverse transcriptase polymerase chain reaction to determine the mRNA expression of IL-6Rα and Gp130 in the fallopian tubes obtained from 12 women with ectopic pregnancies, 12 women with normal pregnancies, and 12 healthy nonpregnant women in the luteal phase of their menstrual cycle...
September 2013: Anatomy & Cell Biology
Kristin M Wall, Lisa Haddad, Bellington Vwalika, Naw Htee Khu, Ilene Brill, William Kilembe, Rob Stephenson, Elwyn Chomba, Cheswa Vwalika, Amanda Tichacek, Susan Allen
OBJECTIVE: We describe rates of unintended pregnancy among HIV positive couples in Lusaka, Zambia. We also identify factors associated with unintended pregnancy among oral contraceptive pill (OCP) using couples in this cohort. DESIGN: Data were analyzed from couples randomized in a factorial design to two family planning intervention videos. METHODS: Rates of unintended pregnancy were stratified by contraceptive method used at time of pregnancy...
2013: PloS One
Cihan Çetin, M Turan Cetin, İbrahim F Ürünsak
BACKGROUND: Tubal sterilization is one of the most important surgical techniques for sterilization. There is a dilemma for women who wish to undo this procedure in the choice between tubal reversal or in vitro fertilization (IVF). PATIENTS AND METHODS: In this retrospective cohort study, 134 patients who had had tubal sterilization previously and wished to have another child were enrolled in this study. Primary outcome was clinical pregnancy. The outcomes of 58 women who had had laparoscopic unilateral tubal reversal (Group 1) were compared with those of 76 women who had had IVF (Group 2)...
September 2013: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
Mostafa A Borahay, Hassan M Harirah, Gayle Olson, Gokhan S Kilic, Sinem Karipcin, Gary D V Hankins
Routine use of prophylactic antibiotics reduces the risk of postcesarean fever and infections by over 50% in both nonelective and elective (scheduled) procedures. Although anaphylaxis to prophylactic antibiotics is rare, potentially fatal complications might occur. Herein, we present a case where disseminated intravascular coagulation and reversible ischemic neurological deficit complicated anaphylactic reactions to prophylactic antibiotics administered during cesarean delivery. A 27-year-old gravida 9, para 7 at 39(2)/7 weeks underwent elective repeat cesarean delivery and bilateral tubal ligation...
September 2011: American Journal of Perinatology Reports
Ahmet Göçmen, Fatih Sanlıkan, Mustafa Gazi Uçar
OBJECTIVE: To assess surgical outcomes for robot-assisted tubal reanastomosis in a single institution. MATERIALS AND METHODS: Between March 2009 and January 2010, 10 patients underwent robot-assisted tubal ligation reversal (TLR) with a da Vinci S surgical system. Patient demographic data, including operative times, operative and postoperative complications, hospital stay, conversion to laparotomy and pregnancy rates were recorded. RESULTS: Mean age and body mass index for the patients were 37...
March 2013: Taiwanese Journal of Obstetrics & Gynecology
Vidit Sharma, Brian V Le, Kunj R Sheth, Sherwin Zargaroff, James M Dupree, John Cashy, Robert E Brannigan
OBJECTIVE: To describe the longitudinal demographics and family planning attitudes of vasectomized men with the use of the National Survey for Family Growth (NSFG). DESIGN: Retrospective cohort analysis of the NSFG with the use of national projections and multivariable regressions. SETTING: In-home survey. PATIENT(S): The NSFG sampled 10,403 men aged 15-45 years from 2006 to 2010 regarding family planning attitudes. INTERVENTION(S): None...
June 2013: Fertility and Sterility
Jeffrey S Reiner, Kathleen A Brindle, Nadia Juliet Khati
The intrauterine contraceptive device (IUD) is one of the most widely used reversible contraception methods throughout the world. With advancing technology, it has rapidly gained acceptance through its increased effectiveness and practicality compared with more invasive means such as laparoscopic tubal ligation. This pictorial essay will present the IUDs most commonly used today. It will illustrate both normal and abnormal positions of IUDs across all cross-sectional imaging modalities including 2-dimensional ultrasound, computed tomography, and magnetic resonance imaging, with a focus on the emerging role of 3-dimensional ultrasound as the modality of choice...
December 2012: Ultrasound Quarterly
Paul Martyn, Valerie Prather
No abstract text is available yet for this article.
July 2012: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
Aimee S Browne, Jie Yu, Ruo-Pan Huang, Antônio M C Francisco, Neil Sidell, Robert N Taylor
OBJECTIVE: To evaluate neurotrophin (NT) expression in the endometrium of women with and without endometriosis. DESIGN: Prospective, cross-sectional, translational study. SETTING: Academic hospital. PATIENT(S): Thirty-three reproductive-age women undergoing laparoscopy for infertility, pelvic pain, intramural fibroids, or tubal ligation. INTERVENTION(S): Endometrial biopsies, protein microarrays, reverse transcriptase-polymerase chain reaction, ELISAs, and Western blotting...
September 2012: Fertility and Sterility
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