Laparoscopic rescue after tubal anastomosis failure.
Laparoscopic rescue after tubal anastomosis failure is reported for the first time. The patient was a 33 year old woman sterilized by Pomeroy's method. Reconstruction of fertility was achieved by mini-laparotomy with isthmo-isthmic end-to-end anastomosis of bilateral tubes. Unfortunately, the patient did not become pregnant and tubal occlusion was diagnosed 6 months later by hysterosalpingography. Laparoscopic rescue with repeat isthmic-ampullary anastomosis and adhesiolysis was performed. Post-operatively, the patient had one menstruation and then achieved an intrauterine pregnancy. Instead of in-vitro fertilization/embryo transfer, laparoscopic rescue may be an alternative option for the patient with failed anastomosis.
Lee
C L
CL
Department of Obstetrics and Gynaecology, Chang Gung Memorial Hospital, Chang Gung Medical School, Linkou Medical Center, Taipei, Taiwan.
Lai
Y M
YM
Huang
H Y
HY
Soong
Y K
YK
D000328:Adult; D000714:Anastomosis, Surgical; D005186:Fallopian Tube Patency Tests; D005187:Fallopian Tubes / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy; D011184:Postoperative Period; D011247:Pregnancy; D012086:Reoperation; D013243:Sterilization Reversal; D017211:Treatment Failure