“There are currently no randomized controlled studies comparing the efficacy of either surgical reversal or IVF [in vitro fertilization] in restoring fertility following tubal sterilization. Given the enthusiasm of many of the clinicians towards one procedure or the other, and the possible success or cost implications, there is a need for well-designed randomized controlled trials in this area.”1 This quote is from the discussion of a 2006 Cochrane review.
The article by Cetin et al.2 certainly supports the enthusiasm for laparoscopic reversal of tubal ligation. The weak points of this retrospective cohort study, as outlined by the authors, must be addressed before best practices can be decided.
References
1.
YossryM, AboulgharM, D'AngeloA, GillettW. In vitro fertilization versus tubal reanastomosis (sterilization reversal) for subfertility after tubal sterilization. Cochrane Database Syst Rev, 2006; 3:CD004144.
2.
ÇetinC, ÇetinMT, ÜrünsakIF. Unilateral laparoscopic tubal reversal versus IVF. J Laparoendosc Adv Surg Tech A, 2013; 23:771–774.
