输卵管妊娠腹腔镜保守手术治疗与传统开腹手术治疗对比分析

目的:探讨输卵管妊娠腹腔镜保守手术与传统开腹手术的治疗效果.方法:对我院收治的100例输卵管妊娠的患者,分为腹腔镜组50例与开腹手术组50例,对两组术中、术后情况进行比较分析.结果:腹腔镜组术中出血量、住院时间、术后肛门排气时间、离床活动时间与开腹组比较,差异有统计学意义或高度统计学意义(P＜0.05或P＜0.01),各指标优于开腹组.术后随访2年,腹腔镜组再次宫内妊娠39例(78%),开腹手术组再次宫内妊娠29例(58%),差异有统计学意义(P＜0.05).结论:应用腹腔镜行输卵管妊娠保守手术治疗优于传统的开腹手术,腹腔镜手术可以作为输卵管妊娠且有生育要求患者保守手术的首选.     

输卵管妊娠腹腔镜保守手术治疗与传统开腹手术治疗对比分析

目的:分析输卵管妊娠腹腔镜保守手术与传统开腹手术两种治疗方法的疗效差异。方法:将2009年6月至2011年3月到我院妇产科进行治疗的120例输卵管妊娠患者随机分为两组,分别为腹腔镜组和开腹手术组,每组各60例患者,对两组患者术后情况进行对比分析。结果:腹腔镜组术患者的组术中出血量、手术时间、住院时间、肛门排气时间、开始离床活动时间,明显少于和短于开腹手术组,两组相比差异有显著性意义(P<0.05)。结论:腹腔镜下进行输卵管妊娠保守手术治疗具有出血量少,手术时间、住院时间、肛门排气时间、开始离床活动时间短的优点,其疗效明显优于传统开腹手术。     

开腹手术与腹腔镜下输卵管妊娠临床对照研究

目的：探讨开腹手术与腹腔镜手术治疗输卵管妊娠的临床疗效。方法回顾性分析我院2007年2月至2010年11月收治的122例输卵管妊娠患者的临床资料,其中采用开腹手术者60例（开腹组）,腹腔镜下手术治疗者62例（腹腔镜组）,观察两组患者术中出血量、手术时间、住院时间以及术后恢复情况,对比临床疗效。结果两组术中出血量比较,腹腔组少于开腹组,差异有统计学意义（P〈0．05）;两组手术时间比较,腹腔镜组较开腹组短,差异无统计学意义（P〉0．05）;两组住院时间比较,开腹组长于腹腔镜组,差异有统计学意义（P〈0．05）;腹腔镜组患者术后排气较早,恢复情况与开腹组比较明显较快。结论腹腔镜手术治疗输卵管妊娠术中出血少、手术创伤小、患者痛苦少,且住院时间短、术后恢复快,其疗效明显优于开腹手术。值得临床推广应用。     

阴式手术与腹腔镜手术治疗输卵管妊娠的对照研究

目的:比较阴式手术与腹腔镜手术治疗输卵管妊娠的疗效及优缺点。方法:通过对60例输卵管妊娠患者分别行阴式手术(30例)与腹腔镜手术(30例),比较两组的疗效和术中、术后情况。结果:两组术后血β-HCG下降情况比较,差异无统计学意义(P>0.05),术后复诊均未发现盆腔包块。两组的手术时间、术中出血量、最高体温、术后白细胞计数(WBC)、术后住院时间比较,差异均无统计学意义(P>0.05),阴式手术组术后肛门排气时间较腹腔镜手术组短、住院费用较腹腔镜手术组少(P<0.05)。结论:阴式手术与腹腔镜手术治疗输卵管妊娠的疗效相同,但在术后肛门排气时间、住院费用方面明显优于腹腔镜手术,可为临床治疗输卵管妊娠提供一种有效、微创、安全、费用低的方法。     

异位妊娠腹腔镜手术治疗分析

目的:探讨异位妊娠中腹腔镜与开腹手术的临床疗效比较。方法:回顾性分析我院2005年1月至2011年1月间收治的40例异位妊娠患者,将其随机分为腹腔镜组和开腹组各20例,观察两组患者手术时间、出血量、术后需镇痛例数、肛门排气时间、术后进食时间、住院时间及术后切口感染例数。结果:两组患者术中出血量、术后需镇痛例数、肛门排气时间、术后进食时间、住院时间及术后切口感染例数相比,差异均有统计学意义(P<0.05)。结论:腹腔镜手术出血少、手术时间短、术后不需镇痛、肛门排气时间早、住院时间短、恢复快、术后妊娠率高,可作为治疗异位妊娠的首选术式,对于未育、要求保留输卵管功能的年轻女性,腹腔镜治疗异位妊娠已变的尤为重要。     

妇科腹腔镜手术46例报告

目的 比较常见妇科疾病用腹腔镜手术与传统开腹手术的方法和效果。方法 采用腹腔镜手术治疗常见妇科疾病：异位妊娠、卵巢囊肿46例为研究组与传统开腹手术治疗异位妊娠、卵巢囊肿98例作为对照组。采用t检验及χ^2检验，对两组的手术效果进行比较。结果 在手术效果及术后情况方面，研究组显著优于对照组。结论 腹腔镜手术治疗异位妊娠、卵巢囊肿比传统开腹手术具有手术时间短、术中出血少，术后恢复快，住院时间短等优点。     

腹腔镜与开腹手术治疗异位妊娠术后受孕率对比

目的:探讨腹腔镜保守性手术与开腹保守性手术治疗异位妊娠术后宫内受孕率的差异。方法:回顾性分析有生育要求的83例异位妊娠病例,其中行腹腔镜保守性手术43例,开腹保守性手术40例,术中配合患侧输卵管系膜处注射甲氨喋呤,比较两组手术术后输卵管通畅率和术后18个月内宫内受孕率。结果:腹腔镜组术后输卵管通畅率(88%)、宫内受孕率(61%)、再次异位妊娠率(7%);开腹组术后输卵管通畅率(73%)、宫内受孕率(48%)、再次异位妊娠率(8%)。结论:输卵管保守性手术后宫内妊娠率高,而再次异位妊娠率不增加,适合要求保留生育功能的年轻患者。     

腹腔镜在异位妊娠手术中的应用分析

目的 探讨腹腔镜下异位妊娠手术的疗效及应用前景。方法 对72例开腹行异位妊娠(输卵管妊娠71例，卵巢妊娠1例)手术的患者及59例腹腔镜手术的异位妊娠患者(均为输卵管妊娠)资料，进行回顾性分析。结果两组患者在异位妊娠类型构成比、年龄、体重、孕产次等方面差异无显著性；在术中失血量、术后恢复、术后止痛药应用、住院时间及术后输卵管复通等方面差异有显著性。结论腹腔镜下异位妊娠手术完全，可安全有效用于临床，且具有创伤小、恢复快的特点。     

输卵管结扎后传统开腹与腹腔镜下输卵管复通术疗效分析

目的 探析输卵管结扎后传统开腹与腹腔镜下输卵管复通术的临床疗效。方法 选取2015年1月至2022年7月输卵管结扎患者26例。将2015年1月至2019年1月收治的13例患者为参照组,实施传统开腹输卵管复通术。2019年2月至2022年7月收治的13例患者为试验组,实施腹腔镜下输卵管复通术。比较两组患者手术时间、术后首次下床活动时间、住院时间,术后随访2个月记录再次妊娠率。结果 两组患者手术时间比较,差异无统计学意义（P>0.05）。试验组首次下床活动时间、住院时间均短于参照组,差异有统计学意义（P<0.05）。试验组再次妊娠率（84.62%）高于参照组（38.46%）,差异有统计学意义（P<0.05）。结论 输卵管结扎后腹腔镜下输卵管复通术在手术效果和术后妊娠率方面均优于传统开腹输卵管复通术。     

腹腔镜下输卵管吻合术可行性的临床研究

目的:探讨腹腔镜下输卵管吻合术的优势及技巧。方法:回顾分析18例(1例不符合复通标准)双侧输卵管结扎术后输卵管复通吻合的临床效果,其中9例为开腹手术(TA),8例为腹腔镜手术(LA)。比较两组患者的术中失血量、手术时间、术后肠蠕动恢复时间、术后2个月输卵管通液情况、术后1年内妊娠率等。结果:腹腔镜手术的手术时间长于开腹手术[(160.8±12.3)min vs(63.1±21.5)min],术后肠管恢复时间短于开腹手术[(7.2±2.5)h vs(12.1±5.3)h,P0.05]。两组患者的术中失血量、术后输卵管复通率及术后1年内妊娠率比较,差异均无统计学意义(P0.05)。结论:在熟练手术技巧的前提下,在腹腔镜下行输卵管复通吻合术完全可行,而且利于患者早期恢复、早期妊娠。输卵管通液术及举宫器的应用将对手术的完成有一定的帮助。     

开腹与腹腔镜下输卵管吻合术回顾性队列研究及术后妊娠影响因素分析#br#

【Abstract】?Objective?To evaluate the safety and effectiveness of laparotomic and laparoscopic tubal anastomosis, and evaluate the influencing factors of pregnancy rate. Methods?The clinical data of 356 ligation patients who underwent tubal anastomosis in the First Affiliated Hospital of Zhengzhou University from March 2012 to October 2017 were analyzed retrospectively, including 85 cases of laparotomy and 271 cases of laparoscopy. The differences of perioperative status and postoperative pregnancy rate between the two groups were analyzed, and the independent influencing factors of postoperative pregnancy rate were analyzed. Results?①There was no significant difference in operation time, postoperative fever and exhaust time between the two groups (P>0.05), but laparoscopic bleeding was less[(18.1±12.1) ml, (33.4±22.1) ml], and the pain score was lower[(3.6±0.9), (4.5±0.9) score], duration of hospital stay was shorter[(5.9±0.6) d, (7.1±0.7) d](P<0.05). 2 cases of laparotomic group had abdominal wall incision infection, cases of laparoscopic group all healed well. The cost of laparotomic group was lower than that in laparoscopic group[(9 524±881), (12 903±1 162) yuan](P<0.05).② There was no significant difference in the patency rate of intraoperative anastomosis, residual tube length and ectopic pregnancy rate between the two groups (P>0.05). The uterine pregnancy rate two years after anastomosis was higher in laparoscopic group (76.4%) than in laparotomic group(61.2%)(P<0.05). The postoperative gestation time of the laparoscopic group was (7.6±4.9) months, and the postoperative gestation time of the open group was (8.3±5.3) months, with no statistically significant difference(P>0.05).③ Anastomotic procedure (OR=1.847, 95%CI: 1.028~3.320, P=0.040), age (OR=3.673, 95%CI: 1.690~7.984, P=0.001), multiple pelvic operation history (OR=3.092, 95%CI: 1.650~5.796, P=0.000), and length of residual tube (OR=4.716, 95%CI: 2.552~8.714, P=0.000) were independent factors influencing intrauterine pregnancy rate after anastomosis. There was no significant correlation between body mass index (BMI), length of ligation, method of ligation and site of ligation and pregnancy rate. Conclusion?Compared with open surgery, laparoscopic tubal anastomosis is a better treatment option for patients with tubal ligation. Anastomosis mode, age, history of multiple pelvic surgeries and length of remaining fallopian tubes were the influencing factors of pregnancy rate after anastomosis.     

宫角妊娠的治疗及对术后生育能力的影响分析

目的：分析比较宫角妊娠不同治疗方案的临床效果及对术后生育能力的影响。方法：对我院2012年1月-2015年12月收治的95例宫角妊娠患者进行回顾性分析,按照治疗方法将其分为5组：清宫术组（n=21）、开腹探查手术组（n=27）、腹腔镜手术组（n=33）、减胎术组（n=5）、药物治疗组（n=9）。分析比较不同治疗方案的临床效果及对术后生育能力的影响。结果：手术患者均获得成功,术后均未发生明显不良反应。开腹探查手术组的术中出血量最多,清宫术组最少,差异有统计学意义（P＜0.05）;清宫术组手术时间短于开腹探查手术组和腹腔镜组,差异有统计学意义（P＜0.05）,而腹腔镜手术组与开腹探查手术组的手术时间比较,差异无统计学意义（P＞0.05）;术后3 d人绒毛膜促性腺激素β亚单位（β-hCG）下降程度清宫术组显著优于开腹探查手术组和腹腔镜组,差异有统计学意义（P＜0.05）;术后住院时间比较,清宫术组最短,开腹探查手术组最长,差异有统计学意义（P＜0.05）。药物治疗组的9例患者中,有8例孕囊完全排出,孕囊排出时间3~5.5 h,平均（4.1±1.2）h;阴道出血时间5~8 d,平均（7.2±1.4）d;其余1例因不完全流产转行清宫术。随访至治疗后1年,除减胎术组5例成功分娩外,其余90例患者中,计划妊娠81例,再次宫内妊娠者41例,药物治疗组再妊娠率最高,开腹探查手术组最低,差异有统计学意义（P＜0.05）。结论：对于宫角妊娠应根据患者的病情,妊娠包块大小、位置及是否破裂,患者的意愿,以及医师的实践经验和手术技巧综合考虑,力求对患者创伤程度最低,对术后再生育能力影响最小。     

宫内外复合妊娠腹腔镜手术治疗34例分析

目的:探讨宫内外复合妊娠(HP)腹腔镜治疗的有效性、安全性及对妊娠结局的影响。方法:回顾性分析2011年1月—2018年1月天津市中心妇产科医院收治的宫内妊娠合并输卵管妊娠共34例,探讨腹腔镜手术治疗的可行性和妊娠结局。结果:34例患者均为宫内妊娠合并单侧输卵管妊娠,其中特殊病例包括:宫内双胎妊娠合并右侧输卵管妊娠1例,宫内妊娠合并右侧输卵管间质部妊娠1例,双子宫右侧宫腔妊娠合并左侧输卵管妊娠1例。所有患者均行腹腔镜手术治疗,手术时间15～110 min,平均(45.21±8.33)min;术中出血5～200 m L,平均(33.04±10.12)m L,其中3例因术前腹腔出血超过800 mL行输血治疗。术后患者无发热、切口感染和术后并发症,超声检查提示宫内妊娠状态正常,患者恢复良好。除胚胎停育行人工流产1例和失访1例外,余33例新生儿(1例双胎妊娠分娩)均为活产,未见新生儿发育畸形。结论:对于妊娠早期的宫内妊娠合并单侧输卵管妊娠患者,腹腔镜手术去除输卵管异位妊娠安全有效,术后未增加医源性流产率及新生儿出生缺陷发生率。     

Laparoscopic management of tubal ectopic pregnancy in obese women

OBJECTIVE: To study the surgical morbidity associated with the laparoscopic management of tubal ectopic pregnancy in an overweight population compared with a lean population. DESIGN: Retrospective study. SETTING: An academic tertiary referral obstetrics and gynecology center. PATIENT(S): One hundred seventeen patients in two groups, lean (n = 90; body mass index 30) who had pathology-confirmed tubal ectopic pregnancies that were managed laparoscopically. Each group was subdivided into a laparoscopically managed group and a group in which laparoscopy was converted to laparotomy. INTERVENTION(S): None.Operative time, blood loss, and complications of laparoscopic surgery as well as causes of conversion from laparoscopy to laparotomy, in obese compared with lean women, with ectopic pregnancy. RESULT(S): There was no significant difference in gestational age; beta-hCG level; or history of previous surgeries, ectopic pregnancy, pelvic inflammatory disease, or endometriosis or in any of the studied outcomes (conversion rate, blood loss, and operative time) between the lean and obese groups or their respective subgroups except for operative time between obese women who underwent laparotomy, which was significantly longer when compared with the case of lean women who underwent laparotomy. Intraoperative and postoperative complications were comparable between the lean and obese groups, and all complications occurred in the completed-laparoscopy group. CONCLUSION(S): Laparoscopic management of tubal ectopic pregnancy does not appear to significantly increase surgical morbidity in obese patients.     

Fertility outcome after tubal anastomosis by laparoscopy and laparotomy

STUDY OBJECTIVE: To evaluate fertility outcome and benefit of laparoscopic tubal anastomosis compared with laparotomy. DESIGN: Retrospective study (Canadian Task Force classification II-2). SETTING: University hospital. PATIENTS: Eighty-one women requesting reversal of sterilization. Fertility outcome was analyzed in 76 patients for a minimum of 6 months. INTERVENTION: Laparoscopic tubal anastomosis in 37 women and abdominal tubal anastomosis in 44. MEASUREMENTS AND MAIN RESULTS: In both groups anastomosis was performed in two layers with four stitches using microsurgical technique. Overall pregnancy rates were 80.5% in the laparoscopy and 80.0% in the laparotomy group. The mean interval from operation to pregnancy was similar in the two groups (p = 0.9). Mean operating time was significantly longer for laparoscopy (201.9 +/- 33.8 min) than for laparotomy (148.7 +/- 32.5 min), including diagnostic laparoscopy. However, mean hospital stay was shorter for laparoscopy than for laparotomy (3.3 +/- 2.0 vs 6.1 +/- 0.6 days, p <0.05). CONCLUSION: Laparoscopic tubal anastomosis is less invasive and could be an alternative to laparotomy for reversal of tubal sterilization. Advanced laparoscopic equipment and much experience could enhance the pregnancy rate and reduce operating time.     

Fertility outcome after conservative surgical treatment of ectopic pregnancy evaluated in a randomized trial.

OBJECTIVE: To evaluate the fertility outcome after laparoscopic surgery for ectopic pregnancy. DESIGN: A randomized trial versus laparotomy was performed between May 1987 and June 1989. SETTING: The study was conducted in a clinical university center, the Sahlgrens Hospital. PATIENTS: A group of 105 patients with tubal pregnancy were stratified with regard to risk determinants and age and randomized to laparoscopy or laparotomy. Eighty-seven patients who desired pregnancy were evaluated for subsequent fertility outcome. INTERVENTIONS: Linear salpingotomy was performed in both surgical groups. MAIN OUTCOME MEASURE: We evaluated the fertility outcome after laparoscopic salpingotomy for comparison with the outcome after laparotomy. RESULTS: There was no difference between the groups in the overall fertility outcome. A substantially higher proportion of patients in the laparotomy group were subjected to adhesiolysis performed at a second-look laparoscopy. CONCLUSIONS: The fertility prospects are not impaired by laparoscopic surgery. Adhesiolysis at a second-look laparoscopy, especially after laparotomy, might be beneficial in selected cases and may serve to improve subsequent fertility.     

Simultaneous bilateral tubal pregnancies after in vitro fertilization and embryo transfer: report of a case.

Ectopic pregnancies continue to be a major complication of in vitro fertilization and embryo transfer (IVF-ET). A case of bilateral simultaneous tubal pregnancy after IVF-ET is described. The patient underwent ovum pick-up (OPU) through a laparotomy with concomitant pelvic surgery. Embryo transfer (ET) was performed two days after OPU; this resulted in bilateral tubal pregnancies, diagnosed and treated one month apart. There are several possible causal mechanisms for the increased rate of ectopic pregnancies following IVF-ET. It is important to recognize that care in the transfer technique, with respect to the catheter position and limiting the volume of transfer medium to 20 microL, and an awareness of previous occlusion of the tubal ostia, or of a salpingectomy before IVF-ET, can help to minimize this complication rate. Two important points are the possibility of a simultaneous bilateral tubal pregnancy after IVF-ET, and the necessity of carefully examining both adnexa at the time of surgery for an ectopic pregnancy. Early and accurate diagnosis of a simultaneous bilateral ectopic pregnancy can prevent the necessity of a second operation and reduce maternal morbidity and mortality.     

腹腔镜保守性手术治疗输卵管妊娠的效果及其影响因素分析

目的 探讨腹腔镜保守性手术治疗输卵管妊娠的效果及其影响因素.方法 2003年1月至2008年12月,对北京安贞医院妇产科226例输卵管妊娠者行腹腔镜保守性手术治疗,152例于术后3～6个月行子宫输卵管造影,其中6例接受了再次腹腔镜探查,以评价手术侧输卵管是否通畅.第1次腹腔镜手术成功207例,手术失败19例;术后3～6个月行子宫输卵管造影,第1次腹腔镜手术成功的207例患者中,患侧输卵管通畅者89例(A组);第1次腹腔镜手术失败、术中及术后改行输卵管切除术(19例)及手术后随访检查患侧输卵管不通者(63例)共计82例(B组).再以妊娠包块最大径线5 cm或血清人绒毛膜促性腺激素(hCG)水平≤2000 IU/L,>2000～<5000 IU/L,≥5000 IU/L为界,分别计算输卵管通畅率.两组患者年龄、孕次、停经时间、输卵管妊娠的侧别及部位、是否破裂、是否合并盆腔粘连等方面比较,差异均无统计学意义(P>0.05).结果 226例患者中,207例患者第1次腹腔镜手术成功,手术成功率为91.6%(207/226),术后3～6个月随访152例,失访55例.A、B组患者术前血清hCG中位水平分别为980(55～12 000)、3150(570～40 000)IU/L,两组比较,差异有统计学意义(P<0.01);A、B组患者输卵管妊娠包块最大径线分别为(3.4±1.3)、(5.0±1.7)cm,两组比较,差异也有统计学意义(P<0.01).A组患者术前中位腹腔内出血量为200(0～1500)ml,B组为300(0～1600)ml,A组活胎率为2%(2/89),B组为11%(9/82),两组比较,差异均有统计学意义(P<0.05).两组共171例患者中,妊娠包块最大径线<5 cm者103例,术后患侧输卵管通畅率为65%(67/103),妊娠包块最大径线≥5 cm者68例,术后患侧输卵管通畅率为32%(22/68),两者比较,差异有统计学意义(P<0.01);血清hCG水平≤2000 IU/L、>2000～<5000 IU/L、≥5000 IU/L者术后患侧输卵管通畅率分别为72%(73/102)、29%(12/42)和15%(4/27),3者分别比较,差异也有统计学意义(P<0.05);logistic回归分析结果显示,术前血清hCG水平(OR=0.277,P<0.01)、输卵管妊娠包块最大径线(OR=0.577,P<0.01)、腹腔内出血量(OR=0.999,P<0.05)均为手术成功率的影响因素.结论 腹腔镜保守性手术对输卵管妊娠希望保留输卵管功能的患者具有安全性和可行性;术前血清hCG水平、输卵管妊娠包块大小及腹腔内出血量是影响手术效果的重要因素.     

Re-evaluation of the indication for and limitation of laparoscopic salpingotomy for tubal pregnancy

OBJECTIVE: We investigated the outcome of laparoscopic salpingotomy for tubal pregnancy by follow-up hysterosalpingography (HSG) or second-look laparoscopy (SLL) and reexamined the indication for and limitation of this conservative surgery. STUDY DESIGN: From April 1991 to December 2003, we treated 181 cases of tubal pregnancy using laparoscopic salpingotomy. The tubal patency was assessed by either HSG or SLL performed at 3 months post-surgery. The patients with a successful initial operation and confirmed ipsilateral patent tubes at follow-up were classified as truly successful cases (group I). Even after successful operation, if the treated tubes were found to be occluded, they were considered as unsuccessful cases. Therefore, those cases that were unsuccessful at initial surgery as well as at follow-up were categorized as group II. RESULTS: One hundred and thirty-four cases (74%) were successfully treated by salpingotomy at initial laparoscopy and 85 of them (63.4%) were found to be truly successful at follow-up (group I). The remaining 47 cases (26.0%) were unsuccessful at initial surgery and 18 (13.4%) cases at follow-up (group II). Thirty-one other patients refused to accept a tubal patency test or were not examined for personal reasons or were lost to follow-up. No difference in surgical outcome was observed between these two groups of patients with regard to gestational age, intra-operative hemorrhage, size or anatomic location of the pregnancy mass, and pre-operative adhesions of the fallopian tube. However, pre-operative serum levels of hCG were significantly higher in group II than in group I. In addition, the unsuccessful cases were more frequently associated with positive fetal heart beat (FHB), tubal rupture, and pre-operative serum levels of hCG of more than 10,000 IU/l (p<0.05, chi2 test). The log-rank test indicated a higher pregnancy success rate in group I (p<0.05) than in group II in those who desired future pregnancy. CONCLUSION: Laparoscopic salpingotomy may be practised as conservative surgery for proximal ectopic pregnancy, and gestational mass size is not as important and is not a relative contraindication for conservative laparoscopic surgery, as previously reported. Low pre-operative HCG levels, absence of FHB, absence of tubal rupture initially or minimal rupture may be considered suitable parameters for successful surgery and for achieving future pregnancy.     

Laparoscopic tubal anastomosis.

OBJECTIVES: To evaluate the pregnancy outcome after laparoscopic tubal anastomosis. METHODS: From December 1998 to December 2001, 26 patients with bilateral tubal ligation who underwent laparoscopic tubal anastomosis were prospectively evaluated. Patients' age varied from 28 to 37 years. RESULTS: Laparoscopic tubal reversal was performed in 23 patients. Bilateral reversal was possible in all but two patients. The operation time ranged from 95 to 155 min and all patients were discharged in the following morning after surgery. After 3 months, tubal patency was confirmed in 15 patients (15/23). Pregnancy rate was 56.5% (13/23), without ectopic pregnancies. The average time from tubal reversal and pregnancy was 6 months. CONCLUSIONS: In selected cases, laparoscopic tubal reversal can be offered to patients who had been submitted to tubal sterilization and desire new pregnancies. Patient selection as well as meticulous surgical technique are key factors in achieving satisfactory pregnancy rates.