Effectiveness of laparoscopic tubal anastomosis in tubal ligation patients, A retrospective study

Abstract

Objective To evaluate the pregnancy outcome after laparoscopic tubal anastomosis and to analyze the factors that may affect the pregnancy outcome. Methods This study was a retrospective analysis of pregnancy outcomes in 82 patients with a history of tubal sterilization treated with laparoscopic tubal anastomosis at the Lanzhou University Second Hospital Reproductive Medicine from July 2017 to December 2021. The primary outcomes were intrauterine pregnancy, ectopic pregnancy, miscarriage. We also examined relevant factors that may influence pregnancy status. Results The cumulative clinical pregnancy rate for all patients was 52/81 (63.61%). The distribution of pregnancy outcomes for the whole group was as follows: intrauterine pregnancy rate, 49/81 (59.75%), ectopic pregnancy rate, 3/82 (3.66%) and miscarriage rate, 5/81 (6.10%). In the multivariate model, age, pelvic adhesions, and endometrial polyps may be the main prognostic factors. Conclusion Laparoscopic tubal anastomosis is an effective treatment for patients with tubal-related infertility, especially for women under 40 years.