title: Laparoscopic non-microsurgical tubal reanastomosis: A retrospective cohort study.
abstract: OBJECTIVE
  To determine the pregnancy rate achieved through laparoscopic tubal reanastomosis using only standard 5 mm laparoscopic instruments and standard suturing material.
  
  
  METHODS
  Data from 100 consecutive laparoscopic tubal reanastomosis procedures done between September 2002 and September 2010 were retrospectively analysed. All procedures were performed by the same surgeon using standard 5 mm laparoscopic instruments and with the placing of three or four sutures of standard polyglycan 4/0 suturing material. The main outcome measures were: (intrauterine) pregnancy rate and live birth rate before and after 40 years of age, and tubal patency rate.
  
  
  RESULTS
  Six patients had no active child wish and six others were lost to follow-up, thus leaving 88 of 100 patients for evaluation. Fifty-eight of these conceived, giving a total pregnancy rate (PR) of 66%. The PR in women younger than 40 years was significantly greater than that achieved by those aged 40 or more (73% vs. 29%, p = 0.001).
  
  
  CONCLUSIONS
  Laparoscopic tubal reanastomosis with standard 5 mm laparoscopic instruments results in a satisfactory pregnancy rate.
authors.affiliation: * Department of Obstetrics and Gynaecology, Ghent University Hospital , Ghent.
authors.forename: Marije
authors.initials: M
authors.lastname: van de Water
authors.forename: Jan
authors.initials: J
authors.lastname: Bosteels
authors.forename: Petra
authors.initials: P
authors.lastname: De Sutter
authors.forename: Steven
authors.initials: S
authors.lastname: Weyers
mesh_terms: D000328:Adult; D000714:Anastomosis, Surgical; D015331:Cohort Studies; D005187:Fallopian Tubes / Q000601:surgery*; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008866:Microsurgery / Q000379:methods*; D008875:Middle Aged; D011247:Pregnancy; D011256:Pregnancy Outcome; D018873:Pregnancy Rate; D012189:Retrospective Studies; D012371:Robotics / Q000379:methods*; D013243:Sterilization Reversal / Q000379:methods*
keywords: Laparoscopy; Microsurgery; Sterilisation reversal; Tubal reanastomosis