Which of the following procedures is associated with maximum chance of re-canalization during surgery for reversal of tubal ligation?: (A) Isthumo- isthmic anastomosis, (B) Isthumo- ampullary anastomosis, (C) Ampullo-ampullary anastomosis, (D) Cornual obstruction
Answer is A. When re-canalisation of tubal ligation is done, the isthumo-isthmic anastomosis has given the best results compared to the other methods of anastomosis. Ref: A. Laparoscopic tubal sterilization reversal and feility outcomes journal - K Jayakrishnan and Sumeet N Baheti; B. Examination Obstetrics & Gynaecology by Goh & Flynn 3rd edition, Pages 44-52; C. Postgraduate Gynecology By B. Presannakumari; 1st edition, Pages 180-82