Single-Port Laparoscopic Tubal Anastomosis

Jeong Hwan Kim, MD, PhD, Chang Jin Jeong, MD

Department of Obstetrics & Gynecology, MiraeDream Women’s Hospital, Seoul, Korea (Dr. Kim). Department of Obstetrics & Gynecology, Shin Women’s Hospital, Uijeongbu-si, Gyeonggi-do, Korea (Dr. Jeong).

ABSTRACT

Introduction: With the recent advances in assisted reproductive technologies, most reproductive surgeries for tubal infertility have been replaced by in vitro fertilization. Yet, considering the potential in vitro fertilization–related risks and drawbacks, tubal reversal surgery still plays an important role for those who desire fertility after sterilization.

Case Description: We present a case of successful single-port laparoscopic tubal anastomosis (LTA) on a woman who desired reversal of sterilization after two cesarean deliveries. A singleton intrauterine pregnancy was confirmed 9 weeks after reversal. To our knowledge, this is the first reported case of a successful single-port LTA done with a conventional laparoscopic technique using conventional instruments and sutures.

Discussion: Single-port LTA may be a feasible option that is both cost-effective and has cosmetic benefit. Further studies on feasibility, pregnancy rate, and patient satisfaction are needed. In addition, its benefits over conventional multiport laparoscopy are to be determined.

Key Words: Tubal reversal surgery, Single-port laparoscopic tubal anastomosis, Laparoscopic tubal anastomosis, Sterilization.

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