title: Outpatient laparoscopic tubal anastomosis and subsequent fertility.
abstract: 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.
authors.affiliation: Department of Obstetrics and Gynecology, Centre Hospitalier de l'Université de Montréal, Québec, Canada. fbis@videotron.ca
authors.forename: F
authors.initials: F
authors.lastname: Bissonnette
authors.forename: L
authors.initials: L
authors.lastname: Lapensée
authors.forename: R
authors.initials: R
authors.lastname: Bouzayen
mesh_terms: 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