Outpatient laparoscopic tubal anastomosis and subsequent fertility.
OBJECTIVE
To determine the reproductive outcome of women who undergo laparoscopic tubal anastomosis.


METHODS
Observational prospective study.


METHODS
University-affiliated infertility medical center.


METHODS
One hundred two patients seeking reversal of tubal sterilization.


METHODS
Laparoscopic tubal anastomosis was performed with a one-suture technique.


METHODS
Pregnancy rate.


RESULTS
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.


CONCLUSIONS
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.
Bissonnette
F
F
Department of Obstetrics and Gynecology, Centre Hospitalier de l'Université de Montréal, Québec, Canada. fbis@videotron.ca
Lapensée
L
L
Bouzayen
R
R
D000328:Adult; D000714:Anastomosis, Surgical; D005187:Fallopian Tubes / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy; D011247:Pregnancy; D011446:Prospective Studies; D013243:Sterilization Reversal / Q000379:methods*; D013246:Sterilization, Tubal