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Laparoscopic Tubal Reanastomosis Outcomes – Case Reports
Natalia Florina BUINOIU, Ana Maria PANAITESCU, Radu BOTEZATU, Corina MAT, Tiberiu Mihail DAIA, Gheorghe PELTECU and Nicolae GICA
ABSTRACT
Background. Encountered between methods of contraception, tubal sterilization is not a priority in Romania. Moreover, many women regret their decision a few years later. The aim of this study is to present the reproductive outcome reported in Filantropia Clinical Hospital after laparoscopic tubal reanastomosis.
Case reports. Here we present two cases which underwent laparoscopic reversal. The first case opted for reversal tubal ligation after seven years from her single cesarean section. Despite the unilateral recanalization achieved, the woman conceived after only six months. The second case was more challenging, taking into consideration the patient's medical history. Despite both tubes being permeable at the end of the procedure, the patient did not conceive at the time being.
Conclusion. Our experience confirms that laparoscopic tubal reanastomosis is also available in tertiary centers in Romania and could be a safe method for women who seek reversal, shortly after tubal sterilization.
The success rate is unknown due to the limited number of cases. Therefore, further research is required.
Keywords: laparoscopic tubal reanastomosis, tubal ligation, tubal recanalization.