We conducted a restrospective chart review of 22 laparoscopic tubal an
astomoses performed between May 1987 and May 1991. The procedures were
modeled after the two-stitch technique of Swolin. Overall fertility r
ates were disappointing in this small series, although the first live
birth has occurred. The two-stitch method and available laparoscopic s
uture needles and needle holders limited the surgical results. Modific
ations of technique and instrumentation should improve fertility outco
me.