Uterotubal implantation and obstetric outcome after previous sterilization.

The liberalization of sterilization policies has resulted in an increased number of patients requesting tubal reconstructive surgery. From 1973 through 1975, a total of 18 patients were operated upon by the authors for tubal reconstructive surgery following sterilization. These patients had had either postpartum sterilization of the Pomeroy technique or interval laparoscopic cauterization and cutting. The operative technique with an open uterine approach is described in detail. This technique warrants further evaluation, particularly following laparoscopic sterilization when end-to-end anastomosis is precluded.