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Human Reproduction, Vol. 10, No. 7, pp. 1806-1809, 1995
© 1995 European Society of Human Reproduction and Embryology

case-report

Laparoscopic rescue after tubal anastomosis failure

Chyi-Long Lee1, Ying-Ming Lai, Hong-Yuan Huang and Yung-Kuei Soong

Department of Obstetrics and Gynaecology, Chang Gung Memorial Hospital, Chang Gung Medical School, Linkou Medical Center Taipei, Taiwan

Correspondence: 1To whom reprint requests should be addressed

Laparoscopic rescue after tubal anastomosis failure is reported for the first time. The patient was a 33 year old woman sterilized by Pomeroy's method. Restoration of fertility was achieved by mini-laparotomy with isthmo—isthmic end-to-end anastomosis of bilateral tubes. Unfortunately, the patient did not become pregnant and tubal occlusion was diagnosed 6 months later by hysterosalpingography. Laparoscopic rescue with repeat isthmic—ampullary anastomosis and adhesiolysis was performed. Post-operatively, the patient had one menstruation and then achieved an intrauterine pregnancy. Instead of in-vitro fertilization/embryo transfer, laparoscopic rescue may be an alternative option for the patient with failed anastomosis.

Key words: operative laparoscopy/reversal of sterilization/tubal anastomosis


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P.J. Barjot, G. Marie, and P. Von Theobald
Laparoscopic tubal anastomosis and reversal of sterilization
Hum. Reprod., May 1, 1999; 14(5): 1222 - 1225.
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