Tubal reanastomosis results of our clinic: A tertiary center experience

Mehmet Rıfat Göklü, Şeyhmus Tunç
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Abstract

Objective: In our study, it was aimed to determine the clinical results of 42 patients who underwent tubal reanastomosis for various reasons. Materials and Methods: Our study included 42 patients at fertile age who presented to our clinic for tubal reanastomosis between 2017 and 2019. Demographic information and surgery notes of the patients were accessed through the hospital files and hospital archive system. For retrospective screening, patients were contacted by phone and their pregnancy status was learned. Results: Of the patients, 47.6% (n=20) were operated on due to a wish for fertility, 53.4% (n=22) because of other reasons. The mean age of the patients was 36.2 and the mean number of children of the patients was 4.85. Laparotomy was performed in 23.8% (n=10) of the patients, and laparoscopic surgery in 76.2% (n=32). Our intrauterine pregnancy rate after tubal reanastomosis was calculated as 9.5%. Conclusion: Tubal reanastomosis can be performed by both laparoscopic and mini-laparotomy methods. We recommend performing bilateral reanastomosis if possible. We think that it would be appropriate to prioritize laparoscopic surgery because it is minimally invasive and provides high pregnancy success.
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输卵管再吻合的临床效果:三级中心经验
目的:分析42例因各种原因行输卵管再吻合术的患者的临床结果。材料和方法:我们的研究纳入了2017年至2019年期间到我们诊所进行输卵管吻合术的42例育龄患者。通过医院档案和医院档案系统获取患者的人口统计信息和手术记录。对于回顾性筛查,通过电话联系患者并了解其妊娠状况。结果:因生育意愿手术的占47.6% (n=20),其他原因手术的占53.4% (n=22)。患者平均年龄36.2岁,平均子女数4.85人。23.8% (n=10)的患者行剖腹手术,76.2% (n=32)的患者行腹腔镜手术。输卵管吻合术后的宫内妊娠率为9.5%。结论:输卵管吻合术可采用腹腔镜和小剖腹两种方法。如果可能,我们建议进行双侧再吻合。我们认为优先考虑腹腔镜手术是合适的,因为它是微创的,而且妊娠成功率高。
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