Fertility outcome of Laparoscopic Tubal Reanastomosis / 대한산부인과학회잡지
Korean Journal of Obstetrics and Gynecology
; : 487-490, 1999.
Article
Dans Ko
| WPRIM
| ID: wpr-20304
Responsable en Bibliothèque :
WPRO
ABSTRACT
OBJECTIVE:
Our purpose was to evaluate the pregnancy outcome and the advantages of laparoscopic tubal reanastomosis.METHOD:
During 16 months, January 1996 to April 1997, thirty-two patient had underwent laparoscopic tubal reanastomosis in Pudang CHA General Hospital. The mean age of the patients was 36.1+/-4.3 years(mean+/-SD; range 26 to 47 years).RESULT:
The intrauterine pregnancy rate of laparoscopic tubal reanastomosis was 72.4%(21/29). Data comparing laparoscopic procedure retrospectively to tubal reversal by laparotomy was also evaluated. The mean interval from operation to pregnancy was similar in the two groups (p=0.9). The operation time was sigoificantly longer for laparoscopy (215.3+/-35.5 minutes) than for laparotomy(159.7+/-52.3 minutes). Nevertheless, the intensity of postoperative pain was lower (p<0.05) in patient who underwent laparoscopy than in patient who underwent laparotomy. Also, the mean hospital stay (3.6+/-2.3 days for laparoscopy, 6.1+/-0.5 days for laparotomy) was shortened(p<0.05) after laparoscopy compared with laparotomy.CONCLUSION:
Laparoscopic tubal reanastomosis may offer the benefits of lower postoperative pain and shorten recovery time in comparison with laparotomy. Therefore, considering the high pregnancy rate in minimal follow up period of 6 month, laparoscopic tubal reanastomosis could be an alternative procedure to microsurgical laparotomy in patients requesting reversal of sterilization.
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Douleur postopératoire
/
Inversion de la stérilisation
/
Issue de la grossesse
/
Stérilisation
/
Études rétrospectives
/
Études de suivi
/
Laparoscopie
/
Taux de grossesse
/
Fécondité
/
Hôpitaux généraux
Type d'étude:
Observational_studies
/
Prognostic_studies
Limites du sujet:
Female
/
Humans
/
Pregnancy
langue:
Ko
Texte intégral:
Korean Journal of Obstetrics and Gynecology
Année:
1999
Type:
Article