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Robotically assisted laparoscopic microsurgical tubal reanastomosis: a retrospective study
Oleh:
Caillet, Martin
;
Vandromme, Jean
;
Rozenberg, Serge
Jenis:
Article from Journal - ilmiah internasional
Dalam koleksi:
Fertility and Sterility (keterangan: ada di ClinicalKey) vol. 94 no. 05 (Oct. 2010)
,
page 1844-1847.
Topik:
Robot
;
laparoscopy
;
microsurgery
;
tubal anastomosis
Ketersediaan
Perpustakaan FK
Nomor Panggil:
F02.K.2010.05
Non-tandon:
1 (dapat dipinjam: 0)
Tandon:
tidak ada
Lihat Detail Induk
Isi artikel
Objective To evaluate the pregnancy and delivery outcome of robot-assisted tubal reanastomosis. Design Retrospective cohort study. Setting University hospital. Patient(s) Ninety-seven patients with available follow-up who underwent the reversal of tubal ligation, with a median age of 37 years (range, 24–47 years). Intervention(s) Tubal reanastomosis by robot-assisted laparoscopy. Main Outcome Measure(s) Analysis of the distribution of time to conception and to estimate the crude pregnancy and birth rates at 2 years. Result(s) The overall pregnancy and birth rates were 71%, (95% confidence interval [CI], 61%–80%) and 62% (95% CI, 52%–72%). Ninety-one percent (95% CI, 76%–98%) of patients <35 years old became pregnant, and 88% (95% CI, 72%–97%) delivered at least once. The corresponding pregnancy and delivery rates were 75% (95% CI, 57%–89%) and 66% (95% CI, 47%–81%) between 36 and 39 years old, 50% (95% CI, 25%–75%) and 43.8% (95% CI, 20%–70%) between 40 and 42 years old, 33% (95% CI, 10%–65%) and 8.3% (95% CI, <1%–38%) after the age of 43 years. Conclusion(s) This study reports satisfactory birth rates after tubal reanastomosis by robot-assisted laparoscopy in patients aged 40 years or less.
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