Surgical sterilization by tubal ligation has a disquieting effect on some patients, leaving them unreconciled to the artificially induced sterility. Certain circumstances besides remorse and psychic depression occasionally arise after surgical sterilization which make the retrieval of the forfeited fertility eminently desirable. Such is the loss of an only child or more rarely the loss of two or three children or marriage to a second husband with whom children are keenly desired. The loss of fertility is particularly felt by women whose health is unexpectedly improved or wholly restored.
To remove the obstacle to conception, another laparotomy must be considered. But since this involves the risk of a surgical operation, postoperative convalescence and possibly also an economic burden, it is not particularly agreeable to the patient nor is it readily assented to by the husband.
For such women any method that might accomplish the reopening of the tubes without necessarily
RUBIN IC. REOPENING LIGATED TUBES BY UTERINE INSUFFLATION WITH CARBON DIOXIDE. JAMA. 1938;111(22):1999–2000. doi:10.1001/jama.1938.02790480029007
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