Robotically assisted laparoscopic microsurgical tubal reanastomosis: a retrospective study.

Abstract:

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.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Caillet M,Vandromme J,Rozenberg S,Paesmans M,Germay O,Degueldre M

doi

10.1016/j.fertnstert.2009.10.028

subject

Has Abstract

pub_date

2010-10-01 00:00:00

pages

1844-7

issue

5

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(09)03948-X

journal_volume

94

pub_type

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