LAPAROSCOPIC RESCUE AFTER TUBAL ANASTOMOSIS FAILURE

Laparoscopic rescue after tubal anastomosis failure is reported for th e first time. The patient was a 33 year old woman sterilized by Pomero y's method, Restoration of fertility was achieved by mini-laparotomy w ith isthmo-isthmic end-to-end anastomosis of bilateral tubes, Unfortun ately, the patient did not become pregnant and tubal occlusion was dia gnosed 6 months later by hysterosalpingography, Laparoscopic rescue wi th repeat isthmic-ampullary anastomosis and adhesiolysis was performed , post-operatively, the patient had one menstruation and then achieved an intrauterine pregnancy, Instead of in-vitro fertilization/embryo t ransfer, laparoscopic rescue may be an alternative option for the pati ent with failed anastomosis.