Abstract

DURRUTY V, Guillermo et al. REANASTOMOSIS TUBARIA LAPAROSCÓPICA POST ESTERILIZACIÓN: TÉCNICA DE TRES PUNTOS. Rev. chil. obstet. ginecol. [online]. 2008, vol.73, n.4, pp. 244-249. ISSN 0717-7526.  doi: 10.4067/S0717-75262008000400005.

Background: Advances in endoscopio surgical techniques have allowed well-trained and skilled surgeons to perform tubal anastomosis by laparoscopy reporting similar results than by laparotomy. Objective: To evalúate a new technique we called "three-stitch method". Method: The outcomes for this evaluation were tubal patency and pregnancy rate. A retrospective analysis of five cases of previous tubal sterilization underwent endoscopio tubal reanastomosis using the "three-stitch technique" was done. In all patients a preoperative hysterosalpingogram was performed to confirm occlusion. Results: The average age was 35.8 ± 5.7 years (rango: 26-40 years). All the patients underwent previous tubal sterilization (four cases using Pomeroy technique and one case with Yoon Ring). Eighty percent (8/10) of tubes were reanastomosed. In two cases, due to inadequate conditions of distal or proximal ends of one tube, surgery was performed on the other only. The average surgical time was 150 ± 7.9 minutes (range 140-160 minutes). The pregnancy rate was 40% (2/5). Pregnancy was achieved in younger patients who underwent bilateral reanastomosis. In those patients where pregnancy was not accomplished, a hysterosalpingography was taken to evalúate tubal patency. All of the reanastomosed tubes showed tubal patency at six months follow-up.

Keywords : Tubal anastomosis; reversal; infertility; sterilization; tubal ligation; laparoscopy.