{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,7]],"date-time":"2026-02-07T19:14:05Z","timestamp":1770491645086,"version":"3.49.0"},"reference-count":24,"publisher":"MDPI AG","issue":"5","license":[{"start":{"date-parts":[[2020,5,1]],"date-time":"2020-05-01T00:00:00Z","timestamp":1588291200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Aim: Here, we retrospectively analyzed the success rate of reconstructive microsurgery for tubal infertility (RMTI) as a \u201cfirst-line\u201d approach to achieving tubal reversal and pregnancy after tubal infertility. Patients and Methods: During 9 consecutive years (2005\u20132014), 96 patients diagnosed with obstructive tubal infertility underwent RMTI (tubal reversal, salpingostomy, and\/or tubal implantation) in our centre. The outcomes are presented in terms of tubal reversal rate and pregnancy and correlated with age, level of tubal obstruction, and duration of tubal infertility. Results: The overall tubal reversal rate was 87.56% (84 patients). The 48-month cumulative pregnancy rate was 78.04% (64 patients), of which seven ectopic pregnancies occurred (8.53%). The reversibility rate for women under 35 yo was 90.47%, with a birth rate of 73.01%. The reconstruction at the infundibular segments favored higher ectopic pregnancy rates (four ectopic pregnancies for anastomosis at infundibular level\u201457.14%, two for ampullary level\u201428.57%, and one for replantation technique\u201414.28%), with a significant value for p &lt; 0.05. Conclusions: In the context of IVF \u201cindustrialization\u201d, reconstructive microsurgery for tubal infertility has become increasingly less favored. However, under available expertise and proper indication, RMTI can be successfully used to restore a woman\u2019s ability to conceive naturally with a high postoperative pregnancy rate overall, especially in women under 35 yo.<\/jats:p>","DOI":"10.3390\/jcm9051300","type":"journal-article","created":{"date-parts":[[2020,5,5]],"date-time":"2020-05-05T06:41:20Z","timestamp":1588660880000},"page":"1300","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Role of Reconstructive Microsurgery in Tubal Infertility in Young Women"],"prefix":"10.3390","volume":"9","author":[{"given":"Sorin","family":"Barac","sequence":"first","affiliation":[{"name":"Victor Babes University of Medicine and Pharmacy, Division of Reconstructive Microsurgery, Clinic of Vascular Surgery, Pius Br\u00e2nzeu Emergency Clinical County Hospital, Timi\u0219oara 300041, Rom\u00e2nia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4908-2791","authenticated-orcid":false,"given":"Lucian Petru","family":"Jiga","sequence":"additional","affiliation":[{"name":"Department of Plastic, Reconstructive and Aesthetic Surgery, Hand Surgery, Evangelic University Hospital, Oldenburg 26122, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4009-2248","authenticated-orcid":false,"given":"Andreea","family":"Rata","sequence":"additional","affiliation":[{"name":"Victor Babes University of Medicine and Pharmacy, Division of Reconstructive Microsurgery, Clinic of Vascular Surgery, Pius Br\u00e2nzeu Emergency Clinical County Hospital, Timi\u0219oara 300041, Rom\u00e2nia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ioan","family":"Sas","sequence":"additional","affiliation":[{"name":"Victor Babes University of Medicine and Pharmacy, 2nd Clinic of Obstetrics and Gynecology, Timi\u0219oara 300041, Rom\u00e2nia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2896-7523","authenticated-orcid":false,"given":"Roxana Ramona","family":"Onofrei","sequence":"additional","affiliation":[{"name":"Victor Babes University of Medicine and Pharmacy, Department of Rehabilitation, Physical Medicine and Rheumatology, Timi\u0219oara 300041, Rom\u00e2nia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mihai","family":"Ionac","sequence":"additional","affiliation":[{"name":"Victor Babes University of Medicine and Pharmacy, Division of Reconstructive Microsurgery, Clinic of Vascular Surgery, Pius Br\u00e2nzeu Emergency Clinical County Hospital, Timi\u0219oara 300041, Rom\u00e2nia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2020,5,1]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"e37","DOI":"10.1016\/j.fertnstert.2015.03.032","article-title":"Role of tubal surgery in the era of assisted reproductive technology: A committee opinion","volume":"103","author":"Pfeifer","year":"2015","journal-title":"Fertil. 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