Post-Tubectomy Recanalization: Experiences at a District Hospital-A Study of 40 Cases

Introduction: The demand for post-tubectomy recanalization is increasing due to evolving family planning goals, loss of a child, or changes in marital status. The purpose of the study was to assess the outcomes and experiences of post-tubectomy recanalization procedures. Aim of the study: The aim of the study was to evaluate the outcomes and experiences of post-tubectomy recanalization procedures performed at a district hospital in a study of 40 cases. Methods: This prospective observational study included 40 female patients aged 20 to 39 years who underwent post-tubectomy recanalization conducted at the Department of Surgery in collaboration with the Department of Obstetrics and Gynecology at Magura District Hospital and private clinics of Magura district, Magura, Bangladesh, from January 1, 2014, to December 31, 2020. Patients with no history of pelvic inflammatory disease, endometriosis, fibroids, or other contraindications were included. Data on demographics, surgical details, and pregnancy outcomes were collected and analyzed using SPSS version 22. Result: The majority of patients (50.00%) were aged 30-34 years, with 90.00% having a parity of 2 or less. Isthmo-isthmic anastomosis was the most common type, performed in 47.50% of cases, with 77.50% of tubes achieving a final length of more than 6 cm. Following recanalization, 62.50% of patients achieved a live birth. Conclusion: This study on 40 cases of post-tubectomy recanalization demonstrates its effectiveness in restoring fertility, with a 62.50% live birth rate. The findings emphasize the crucial role of anastomosis type and final tube length in achieving successful outcomes.