title: Outpatient microsurgical reversal of tubal sterilization by a combined approach of laparoscopy and minilaparotomy.
abstract: A prospective study of 17 cases of microsurgical reversal of tubal sterilization by a combined approach of laparoscopy and minilaparotomy was performed. Inclusion criteria included age less than 43; weight less than ideal body weight plus 20%; documentation of ovulation; 2 cm of proximal oviduct on hysterosalpingography; and a normal semen analysis or postcoital test. A comparison group of the 5 cases of sterilization reversal performed by a standard inpatient technique during the same period was analyzed. The study technique was performed on an outpatient basis in 15 of the 17 cases, 12 patients (71%) conceived 13 intrauterine pregnancies, one ectopic pregnancy occurred, and total patient costs and time until return to work were significantly less with the study versus standard technique.
authors.affiliation: Department of Obstetrics and Gynecology, Gundersen/Lutheran Medical Center, La Crosse, Wisconsin.
authors.forename: P D
authors.initials: PD
authors.lastname: Silva
authors.forename: A M
authors.initials: AM
authors.lastname: Schaper
authors.forename: J K
authors.initials: JK
authors.lastname: Meisch
authors.forename: C W
authors.initials: CW
authors.lastname: Schauberger
mesh_terms: D000328:Adult; D000556:Ambulatory Surgical Procedures; D005260:Female; D006801:Humans; D010535:Laparoscopy; D007813:Laparotomy; D008866:Microsurgery; D011183:Postoperative Complications; D011184:Postoperative Period; D011247:Pregnancy; D013243:Sterilization Reversal / Q000379:methods*; D013246:Sterilization, Tubal