West S T, Marana R
Department of Obstetrics and Gynecology, St. Vincent's Hospital, New York, New York.
Int J Fertil. 1989 Jan-Feb;34(1):34-6.
In performing reversal of tubal sterilization, the microsurgeon sometimes has to face difficult anatomical situations due to extensive tubal damage, particularly after laparoscopic unipolar cauterization. In a recent case report, a technique of utilization of contralateral fallopian tube segments in tubal reanastomosis has been described. An intrauterine pregnancy followed, which resulted in a spontaneous abortion at 8 weeks' gestation. We report here our experience in ten cases utilizing a similar technique. Three patients achieved a term pregnancy. One patient achieved three intrauterine pregnancies that ended in first-trimester abortions. It is felt by the authors that this technique should be kept in mind by the practicing microsurgeon for selected cases.
在进行输卵管绝育术的逆转手术时，由于输卵管广泛受损，尤其是在腹腔镜单极电凝术后，显微外科医生有时不得不面对困难的解剖情况。在最近的一篇病例报告中，描述了一种在输卵管再吻合术中利用对侧输卵管段的技术。随后发生了宫内妊娠，妊娠8周时自然流产。我们在此报告我们应用类似技术治疗10例患者的经验。3例患者足月妊娠。1例患者发生3次宫内妊娠，均在孕早期流产。作者认为，执业显微外科医生在处理特定病例时应牢记这一技术。
