Fertility outcomes following laparoscopic tubal re-anastomosis post tubal sterilisation.

摘要

OBJECTIVE: To determine fertility outcomes following laparoscopic tubal re-anastomosis. DESIGN: Retrospective mail follow-up. SETTING: Specialised private gynaecological endoscopy practice. POPULATION OR SAMPLE: 19 women who underwent laparoscopic tubal reanastomosis following tubal sterilisation. MAIN OUTCOME MEASURES: Pregnancy rate and 'take home baby' rate. RESULTS: 15 (78.9%) of women became pregnant, and 13 (68.4%) carried pregnancies to viability. The mean operating time was 115 minutes (range 90-200 minutes). The mean reversal to pregnancy interval was 8.3 months (1-24 months). CONCLUSIONS: This study suggests that the pregnancy and 'take home baby' rates after laparoscopic reversal of tubal sterilisation compare favourably with open microsurgical reversal and in vitro fertilisation.