Abstract
Objective: To determine the reproductive outcome of women who undergo laparoscopic tubal anastomosis. Design: Observational prospective study. Setting: University-affiliated infertility medical center. Patient(s): One hundred two patients seeking reversal of tubal sterilization. Intervention(s): Laparoscopic tubal anastomosis was performed with a one-suture technique. Main Outcome Measure(s): Pregnancy rate. Result(s): There were 69 isthmic-isthmic, 16 isthmic-ampullary, 12 cornual-isthmic, and 5 ampullary-ampullary anastomoses. The mean operative time was 71.35 minutes. Eight patients had bilateral tubal obstruction on postoperative hysterosalpingography. Sixty-nine patients (70%) conceived. Sixty-four (65.3%) had ongoing intrauterine pregnancies, 15 (21.7%) had spontaneous abortions, and 5 (7.2%) had ectopic pregnancies. Conclusion(s): This study demonstrates that laparoscopic tubal anastomosis can be done safely and successfully on an outpatient basis, reducing costs and postoperative morbidity while accelerating the patient’s return to normal activities.
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