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Laparoscopic tubal anastomosis
S C Ribeiro1, R A Tormena, C G Giribela
1Department of Obstetric and Gynecology, Clinics Hospital of São Paulo University School of Medicine (HCFMUSP), São Paulo, SP, Brazil. sergioribeirogo@aol.com
Objectives:
To evaluate the pregnancy outcome after laparoscopic tubal anastomosis.
Methods:
From December 1998 to December 2001, 26 patients with bilateral tubal ligation who underwent laparoscopic tubal anastomosis were prospectively evaluated. Patients' age varied from 28 to 37 years.
Results:
Laparoscopic tubal reversal was performed in 23 patients. Bilateral reversal was possible in all but two patients. The operation time ranged from 95 to 155 min and all patients were discharged in the following morning after surgery. After 3 months, tubal patency was confirmed in 15 patients (15/23). Pregnancy rate was 56.5% (13/23), without ectopic pregnancies. The average time from tubal reversal and pregnancy was 6 months.
Conclusions:
In selected cases, laparoscopic tubal reversal can be offered to patients who had been submitted to tubal sterilization and desire new pregnancies. Patient selection as well as meticulous surgical technique are key factors in achieving satisfactory pregnancy rates.