Document Detail


Fertility outcome after tubal anastomosis by laparoscopy and laparotomy.
MedLine Citation:
PMID:  11509772     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
STUDY OBJECTIVE: To evaluate fertility outcome and benefit of laparoscopic tubal anastomosis compared with laparotomy. DESIGN: Retrospective study (Canadian Task Force classification II-2). SETTING: University hospital. PATIENTS: Eighty-one women requesting reversal of sterilization. Fertility outcome was analyzed in 76 patients for a minimum of 6 months. INTERVENTION: Laparoscopic tubal anastomosis in 37 women and abdominal tubal anastomosis in 44. MEASUREMENTS AND MAIN RESULTS: In both groups anastomosis was performed in two layers with four stitches using microsurgical technique. Overall pregnancy rates were 80.5% in the laparoscopy and 80.0% in the laparotomy group. The mean interval from operation to pregnancy was similar in the two groups (p = 0.9). Mean operating time was significantly longer for laparoscopy (201.9 +/- 33.8 min) than for laparotomy (148.7 +/- 32.5 min), including diagnostic laparoscopy. However, mean hospital stay was shorter for laparoscopy than for laparotomy (3.3 +/- 2.0 vs 6.1 +/- 0.6 days, p <0.05). CONCLUSION: Laparoscopic tubal anastomosis is less invasive and could be an alternative to laparotomy for reversal of tubal sterilization. Advanced laparoscopic equipment and much experience could enhance the pregnancy rate and reduce operating time.
Authors:
S H Cha; M H Lee; J H Kim; C N Lee; T K Yoon; K Y Cha
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The Journal of the American Association of Gynecologic Laparoscopists     Volume:  8     ISSN:  1074-3804     ISO Abbreviation:  J Am Assoc Gynecol Laparosc     Publication Date:  2001 Aug 
Date Detail:
Created Date:  2001-08-17     Completed Date:  2001-10-25     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9417443     Medline TA:  J Am Assoc Gynecol Laparosc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  348-52     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, CHA General Hospital, College of Medicine, Pochon CHA University, 650-9 Yoksam-1-dong, Kangnam-gu, Seoul, 135-081, Korea.
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MeSH Terms
Descriptor/Qualifier:
Adult
Anastomosis, Surgical
Fallopian Tubes / surgery*
Female
Fertilization in Vitro*
Humans
Laparoscopy*
Laparotomy*
Pregnancy*
Retrospective Studies
Sterilization Reversal / methods*
Sterilization, Tubal

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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