Robotically assisted laparoscopic microsurgical tubal reanastomosis: a retrospective study

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REPRODUCTIVE SURGERY Robotically assisted laparoscopic microsurgical tubal reanastomosis: a retrospective study Martin Caillet, M.D.,a Jean Vandromme, M.D.,a Serge Rozenberg, Ph.D.,a Marianne Paesmans, M.Sc.,a,b Olivier Germay,a and Michel Degueldre, M.D.a a

University Hospital Saint-Pierre, Free University Brussels, Brussels, Belgium; and b Data Center, Jules Bordet Institute, Free University Brussels, Brussels, Belgium

Objective: To evaluate the pregnancy and delivery outcome of robot-assisted tubal reanastomosis. Design: Retrospective cohort study. Setting: University hospital. Patient(s): Ninety-seven patients with available follow-up who underwent the reversal of tubal ligation, with a median age of 37 years (range, 24–47 years). Intervention(s): Tubal reanastomosis by robot-assisted laparoscopy. Main Outcome Measure(s): Analysis of the distribution of time to conception and to estimate the crude pregnancy and birth rates at 2 years. Result(s): The overall pregnancy and birth rates were 71%, (95% confidence interval [CI], 61%–80%) and 62% (95% CI, 52%–72%). Ninety-one percent (95% CI, 76%–98%) of patients 3b History of miscarriagec History of abortiond History of cesarean sectione Ligation techniquef Unknown Clips Duration of ligation by 3-y increments Age by 5-y increments

1.27 1.38 1.11 1.08 0.94

0.76–2.12 0.85–2.26 0.67–1.84 0.58–2.02 0.45–1.96

0.36 0.19 0.68 0.81 0.86

1.08 1.86 0.79

0.45–2.61 0.91–3.80 0.65–0.96

0.87 0.09 0.02

0.62

0.49–0.79

0.001

Caillet. Robot microsurgical tubal reanastomosis. Fertil Steril 2010.

follow-up and who had been followed for
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