Best reversal after tubectomy is in which of the following types? (AIPG 2009)
1. Tubal ligation reversal utilizes the techniques of microsurgery to open and reconnect the fallopian tube segments that are remaining after a tubal sterilization procedure. Microsurgery minimizes tissue damage and bleeding during surgery.
2. Essential elements of microsurgical technique include gentle tissue handling, magnifying the operating field, keeping body tissues in their normal state with warmed irrigation fluids, and using the smallest sutures with the thinnest needles capable of holding the tubal ends together to promote proper healing of the rejoined tubal segments.
3. An Isthemo-isthemic anastomosis has the best outcome with live birth rates of 60–80%, provided that the reconstructed tube is longer than 4cm and the ampullary portion is more than 1cm.