Abstract
<h3>Study Objective</h3> Indications for tubal reanastomosis include reversal of sterilization, midtubal block secondary to pathology, tubal occlusion from ectopic pregnancy, and salpingitis isthmica nodosa. The goal is to remove abnormal tissue and reapproximate the healthy tubal segments with as little adhesion formation as possible. <h3>Design</h3> This video demonstrates effective and efficient tubal reanastomosis technique using microsuturing on a robotic surgical platform. <h3>Setting</h3> Community hospital. <h3>Patients or Participants</h3> 35-yo G3P3 with prior tubal sterilization via Filshie clips, desires sterilization reversal, opposed to <i>in vitro</i> fertilization. <h3>Interventions</h3> Tubal reanastomosis utilizing the robotic surgical platform. <h3>Measurements and Main Results</h3> Successful bilateral tubal reanastomosis with resulting intrauterine pregnancy. <h3>Conclusion</h3> Laparoscopic tubal reanastomosis has been shown to boast equal pregnancy success rates as minilaparotomy, but is difficult to perform. Benefits of robotic assist include 3D visualization, tremor filtration, motion downscaling, wristed instrumentation, and micro instrumentation.
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