title: Robotic-assisted tubal anastomosis with one-stitch technique.
abstract: The da Vinci(®) robotic surgical system has been used more often in recent years for tubal anastomosis (TA) and has been reported to have an increased operative time. A one-stitch technique has been used for the reanastomosis step in laparoscopic TA. To date, publications on robotically-assisted TA (RATA) describe an anastomotic step with multiple (usually four) sutures placed. This retrospective case series reports tubal patency data on patients who underwent RATA with the one-stitch technique; tubal patency was the outcome measure. Eighteen women (ages 27-39) underwent RATA with the one-stitch anastomotic technique in tertiary care medical centers between February 2009 and May 2012. Tubal patency was demonstrated in 16/17 patients (94.1 %), as evidenced by postoperative hysterosalpingogram (HSG) and/or subsequent pregnancies. We report the first case series which shows that RATA with a single stitch for the reanastomotic step is effective in achieving tubal patency as evidenced by postoperative HSG and/or pregnancies.
authors.affiliation: Austin Fertility and Reproductive Medicine/Westlake IVF, 300 Beardsley Lane, Bldg B, Suite 200, Austin, TX 78746 USA.
authors.forename: Shahryar K
authors.initials: SK
authors.lastname: Kavoussi
authors.affiliation: Austin Fertility and Reproductive Medicine/Westlake IVF, 300 Beardsley Lane, Bldg B, Suite 200, Austin, TX 78746 USA.
authors.forename: K M
authors.initials: KM
authors.lastname: Kavoussi
authors.affiliation: Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, University of Wisconsin, Madison, USA ; Generations Fertility Care, 2365 Deming Way, Middleton, WI 53562 USA.
authors.forename: Dan I
authors.initials: DI
authors.lastname: Lebovic
keywords: One-stitch; Robotic-assisted; Tubal ligation reversal; Tubal reanastamosis; da Vinci robot