Robotically assisted laparoscopic microsurgical tubal reanastomosis: a retrospective study.
OBJECTIVE
To evaluate the pregnancy and delivery outcome of robot-assisted tubal reanastomosis.


METHODS
Retrospective cohort study.


METHODS
University hospital.


METHODS
Ninety-seven patients with available follow-up who underwent the reversal of tubal ligation, with a median age of 37 years (range, 24-47 years).


METHODS
Tubal reanastomosis by robot-assisted laparoscopy.


METHODS
Analysis of the distribution of time to conception and to estimate the crude pregnancy and birth rates at 2 years.


RESULTS
The overall pregnancy and birth rates were 71%, (95% confidence interval [CI], 61%-80%) and 62% (95% CI, 52%-72%). Ninety-one percent (95% CI, 76%-98%) of patients <35 years old became pregnant, and 88% (95% CI, 72%-97%) delivered at least once. The corresponding pregnancy and delivery rates were 75% (95% CI, 57%-89%) and 66% (95% CI, 47%-81%) between 36 and 39 years old, 50% (95% CI, 25%-75%) and 43.8% (95% CI, 20%-70%) between 40 and 42 years old, 33% (95% CI, 10%-65%) and 8.3% (95% CI, <1%-38%) after the age of 43 years.


CONCLUSIONS
This study reports satisfactory birth rates after tubal reanastomosis by robot-assisted laparoscopy in patients aged 40 years or less.
Caillet
Martin
M
University Hospital Saint-Pierre, Free University Brussels, Brussels, Belgium. martincaillet@yahoo.fr
Vandromme
Jean
J
Rozenberg
Serge
S
Paesmans
Marianne
M
Germay
Olivier
O
Degueldre
Michel
M
D000328:Adult; D000714:Anastomosis, Surgical / Q000379:methods; D015331:Cohort Studies; D005260:Female; D005500:Follow-Up Studies; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008866:Microsurgery / Q000379:methods*; D008875:Middle Aged; D011247:Pregnancy; D018873:Pregnancy Rate; D012189:Retrospective Studies; D012371:Robotics / Q000379:methods*; D013243:Sterilization Reversal / Q000379:methods*; D013246:Sterilization, Tubal; D016896:Treatment Outcome