SINGLE SUTURE LAPAROSCOPIC TUBAL RE-ANASTOMOSIS

The goal of this article is to report our experience and review recent articles obtained for laparoscopic tubal sterilization reversal, The technique we describe is 'single suture laparoscopic tubal re-anastomo sis', This technique is simple and atraumatic and requires only one st itch in the tube. After preparing the tube stumps and bringing the edg es of the mesosalpinx together, laparoscopic anastomosis is achieved b y one stitch placed at '12 o'clock' on the antimesial edge of the tube , Between May 1994 and June 1997 we operated on 32 patients using this technique and carried out 48 tubal sterilization reversals. For the p atients who underwent postoperative hysterosalpingography during the f irst or second month after the operation, the rate of patency was 87.5 % (42/48), The overall intrauterine pregnancy rate was 53.1% (17 out o f 32 patients), The overall delivery rate was 40.6% (13 out of 32 pati ents). The intrauterine pregnancy rate for the 17 patients who were ag ed 38 years or under was 58.8% (10 out of 17 patients). Laparoscopic t ubal sterilization reversal is feasible with a simplified technique. R eview of the publications concerning laparoscopic microsurgical tubal anastomosis confirms satisfactory fertility results. The surgeon shoul d be experienced in microsurgical tubal anastomosis by laparotomy as w ell as operative laparoscopic procedures. (C) 1998 Lippincott-Raven Pu blishers.