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Published on: September 27, 2024
Robotically assisted laparoscopic microsurgical tubal reanastomosis: a retrospective study
Martin Caillet1, Jean Vandromme, Serge Rozenberg
1University Hospital Saint-Pierre, Free University Brussels, Brussels, Belgium. martincaillet@yahoo.fr
Objective:
To evaluate the pregnancy and delivery outcome of robot-assisted tubal reanastomosis.
Design:
Retrospective cohort study.
Setting:
University hospital.
Patient(S):
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).
Intervention(S):
Tubal reanastomosis by robot-assisted laparoscopy.
Main Outcome Measure(S):
Analysis of the distribution of time to conception and to estimate the crude pregnancy and birth rates at 2 years.
Result(S):
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.
Conclusion(S):
This study reports satisfactory birth rates after tubal reanastomosis by robot-assisted laparoscopy in patients aged 40 years or less.