title: Robotically assisted laparoscopic microsurgical tubal reanastomosis: a retrospective study.
abstract: 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.
authors.affiliation: University Hospital Saint-Pierre, Free University Brussels, Brussels, Belgium. martincaillet@yahoo.fr
authors.forename: Martin
authors.initials: M
authors.lastname: Caillet
authors.forename: Jean
authors.initials: J
authors.lastname: Vandromme
authors.forename: Serge
authors.initials: S
authors.lastname: Rozenberg
authors.forename: Marianne
authors.initials: M
authors.lastname: Paesmans
authors.forename: Olivier
authors.initials: O
authors.lastname: Germay
authors.forename: Michel
authors.initials: M
authors.lastname: Degueldre
mesh_terms: 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