Objective: To determine the reproductive outcome of women who undergo laparoscopic tubal anastomosis.
Design: Observational prospective study.
Setting: University-affiliated infertility medical center.
Patient(s): One hundred two patients seeking reversal of tubal sterilization.
Intervention(s): Laparoscopic tubal anastomosis was performed with a one-suture technique.
Main outcome measure(s): Pregnancy rate.
Result(s): There were 69 isthmic-isthmic, 16 isthmic-ampullary, 12 cornual-isthmic, and 5 ampullary-ampullary anastomoses. The mean operative time was 71.35 minutes. Eight patients had bilateral tubal obstruction on postoperative hysterosalpingography. Sixty-nine patients (70%) conceived. Sixty-four (65.3%) had ongoing intrauterine pregnancies, 15 (21.7%) had spontaneous abortions, and 5 (7.2%) had ectopic pregnancies.
Conclusion(s): This study demonstrates that laparoscopic tubal anastomosis can be done safely and successfully on an outpatient basis, reducing costs and postoperative morbidity while accelerating the patient's return to normal activities.