Tubal re-anastomoses through a mini-laparotomy incision

Ashok R. Anand; Aditi R. Jain; C. Pushpa; Adithi Jayaprakash

doi:10.18203/2320-1770.ijrcog20231239

Authors

Ashok R. Anand Department of Obstetrics and Gynecology, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, Maharashtra, India
Aditi R. Jain Department of Obstetrics and Gynecology, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, Maharashtra, India
C. Pushpa Department of Obstetrics and Gynecology, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, Maharashtra, India
Adithi Jayaprakash Department of Obstetrics and Gynecology, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, Maharashtra, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20231239

Keywords:

Microsurgery, Tubal anastomosis, Mini-laparotomy, Tuboplasty

Abstract

To assess the feasibility and reproducibility of tubal anastomosis through a mini-laparotomy incision. Study design is descriptive case study at Academic Medical Center. Sixteen patients with previous tubal sterilization requesting for tubal re-anastomosis. Systematization of the operative steps for tubal re-anastomosis using a mini-laparotomy incision. Primary outcome measures were feasibility and reproducibility; secondary measures were tubal patency, operative time, complications, and ergonomic qualities. The 31 tubes were successfully re-anastomosed and patency was confirmed. The mean surgical time was 15 minutes per tube. Tubal re-anastomosis after tubal sterilization can be performed through a mini-laparotomy incision. Systematization of the operative steps allowed the performance of the operation at speed. More extensive series and follow-ups are needed to assess post-operative pregnancy rates.

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