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farha
Century Club
Joined: 18 May 2007
Posts: 156
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 Posted: Sun Oct 05, 2008 3:22 pm Post subject: reversal of sterlization |
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can any body tell me how reversal of sterlization is done
leproscopically or via leprotomy
how long procedure lasts how much does it costs in pounds
recovery period
success rate and pregnency rte are diffrent? |
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Nick Raine-Fenning
Course Director
Joined: 27 May 2006
Posts: 1852
Location: Nottingham
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| Posted: Sun Oct 05, 2008 4:53 pm Post subject: Re: reversal of sterlization |
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| farha wrote: | | can any body tell me how reversal of sterlization is done |
You clean up the ends and realign and rejoin the muscular component of the tube. You then join the mesosalpinx and tubal serosa. This can be done via laparotomy when an operative microscope is used or laparoscopically so ...
| farha wrote: | | laproscopically or via laparotomy |
Either but few (I believe) have the skills to do this endoscopically
| farha wrote: | | how long procedure lasts how much does it costs in pounds |
Depends on the route of course but around 2-3 hours
£4500? not on NHS of course
| farha wrote: | | recovery period |
Depends on route so week for laparoscopy or 6 for laparotomy - its the incision that one needs to recover from.
| farha wrote: | | success rate and pregnancy rate are different? |
I believe all laparoscopic surgery offers is less stay in hospital and a quicker return to work (from recent SCAR Study) - there is no reduction in the number of adhesions. Outcome should be the same as it is for other laparoscopic procedures but proponents of the endoscopic approach will always favour their approach in terms of success however that is measured: tubal patency, pregnancy, livebirth etc.
Click here for the original paper on behalf of the SCAR group.
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"Teale Fenning Medical Education" delivering evidence-based, exam-orientated learning since 1997 |
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farha
Century Club
Joined: 18 May 2007
Posts: 156
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| Posted: Sun Oct 05, 2008 5:40 pm Post subject: reversal of sterlization |
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| thanks a lot Nick as u have been always helpful and very quick responder . See you in course |
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